甲状腺癌手术后术后暂时声带的危险因素:一个观察性回顾性队列研究
Yujia Han1, Yishen Zhao1, Jiedong Kou1
1Division of Thyroid Surgery, The China-Japan Union Hospital of Jilin University, Jilin Provincial Key Laboratory of Surgical Translational Medicine, Jilin Provincial Precision Medicine Laboratory of Molecular Biology and Translational Medicine on Differentiated Thyroid Carcinoma, Changchun City, Jilin Province, People's Republic of China.
International journal of surgery (London, England)
|April 19, 2024
概括
高T阶段,多焦点癌和长时间的手术时间是甲状腺癌手术后暂时声带的关键危险因素. 了解这些因素有助于预测和潜在地预防患者的这种并发症.
科学领域:
- 内分泌学 在内分泌学.
- 手术瘤学手术瘤学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
背景情况:
- 甲状腺癌手术可能导致短暂的声带 (VCP).
- 确定VCP的预测因素对于患者管理和手术规划至关重要.
研究的目的:
- 分析影响甲状腺癌患者新发术后暂时声带麻 (VCP) 的潜在因素.
主要方法:
- 对8340名甲状腺癌患者的回顾性分析.
- 使用了 χ2 测试,等级总和测试和多重后勤回归.
- 开发并验证了一种使用名ogram的临床预测模型.
主要成果:
- 暂时VCP的发生率为3.6%.
- 相关因素包括背部瘤位置,大节点直径,多焦点癌,组织入侵和淋巴结转移.
- 确定的独立风险因素包括高T阶段,多焦点癌和长时间的手术时间.
结论:
- 在最初的甲状腺癌手术中,高T阶段,多焦点癌和延长的操作时间是术后过渡性VCP的独立风险因素.
- 开发了一种临床预测模型,但需要进一步提高诊断效率.
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