传统开放型甲状腺切除术对多节的临床结果和呼吸功能测试的影响
1Department of General Surgery, Faculty of Medicine, Nigde Omer Halisdemir University, 51240 Nigde, Türkiye.
Annali italiani di chirurgia
|June 26, 2024
概括
甲状腺切除术改善了患者的症状,但没有显著改变肺功能测试. 术后的肺功能测试对于没有术前阻塞性发现的患者是不必要的.
科学领域:
- 内分泌学 在内分泌学.
- 肺部病理学 肺部病理学
- 手术瘤学手术瘤学
背景情况:
- 多节 (MNG) 可以引起压缩症状,影响生活质量.
- 手术干预,特别是甲状腺切除术,是症状性MNG的常见治疗方法.
- MNG手术对肺功能的影响需要进一步研究.
研究的目的:
- 评估开放性甲状腺切除术对MNG患者肺体积的影响.
- 为了评估MNG手术后阻塞症状的改善.
主要方法:
- 55名接受甲状腺切除术的MNG患者的前性研究 (2020年10月 - 2022年6月).
- 临床症状和肺功能测试 (PFTs),包括FEV0.5,FEV1和FVC,在手术前,48小时和手术后6个月记录下来.
- 分析了甲状腺体体积和结节重量之间的相关性.
主要成果:
- 在手术后6个月内,MNG相关的临床症状显著减少.
- 没有观察到肺功能测试参数的显著变化.
- 在甲状腺体积和结节重量之间发现了正相关性.
结论:
- 甲状腺切除术有效地缓解了MNG患者的阻塞症状.
- 在没有手术前阻塞性发现的患者中,术后PFT监测不适合.
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