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在甲状腺手术后常规使用部排水器以预防并发症不再是建议的
Gonçalo Guidi1, Carlos Santos1, João Pinto-de-Sousa2,1
1General Surgery, Centro Hospitalar de Trás-Os-Montes e Alto Douro, Vila Real, PRT.
在甲状腺手术后不建议进行常规的宫排水. 它们增加了住院时间,但没有减少对罕见并发症 (如血液瘤或血清瘤) 的重新干预需求,这些并发症与抗凝血疗法和有毒甲状腺疾病有关.
科学领域:
- 内分泌手术 内分泌手术
- 手术瘤学手术瘤学
- 患者安全 患者安全
背景情况:
- 甲状腺切除术后的宫排水是预防血瘤/血清瘤的辩论.
- 这些并发症的危险因素需要进一步澄清.
研究的目的:
- 确定甲状腺切除术后血液瘤或血清瘤的临床和外科风险因素.
- 评估在甲状腺手术中常规使用宫排水的实用性.
主要方法:
- 对945名甲状腺手术患者 (2018-2020年) 的回顾性多中心研究.
- 收集了有关患者人口统计,治疗方法,病理学,手术细节和结果的数据.
- 分析的并发症:血瘤或血清瘤.
主要成果:
- 血液瘤/血清瘤发生在2.9%的患者中 (n=27).
- 低凝血/抗凝聚疗法 (OR=3.62) 和有毒良性疾病 (OR=6.59) 是显著的危险因素.
- 排水与更长的住院时间相关 (p<0.001) 并没有减少重新干预.
结论:
- 宫血瘤/血清瘤是罕见的并发症.
- 与抗凝固疗法和有毒良性甲状腺病理学相关.
- 由于住院时间增加,并没有减少重新干预,因此不建议常规使用排水器.
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