排水位对手术后的并发症的影响 甲状腺切除术后的甲状腺下侧
Usama Waqar1, Ayesha Nasir Hameed1, Meher Angez1
1Medical College, Aga Khan University, Karachi, Pakistan.
International archives of otorhinolaryngology
|July 8, 2024
概括
在甲状腺切除术后用于下侧囊的排水方法受到争议. 这项研究发现排水不会影响血瘤,但会延长住院时间,这表明个性化决策是最好的.
科学领域:
- 手术瘤学手术瘤学
- 内分泌手术 内分泌手术
- 一般外科 整体外科
背景情况:
- 甲状腺切除术是一种常见的手术,但在下侧子病例中使用排水管缺乏共识.
- 现有证据质疑一般甲状腺切除术中排水的必要性.
研究的目的:
- 为了识别影响下侧甲状腺切除术期间排水位置的因素.
- 评估排水使用对术后血瘤和30天并发症的影响.
主要方法:
- 使用美国外科医生学院国家外科质量改进计划 (ACS-NSQIP) 数据库进行回顾性队列研究.
- 包括接受为下侧囊选择性甲状腺切除术的成年患者 (2016-2020年).
- 具有和没有封闭的吸喉排水管的患者之间的比较.
主要成果:
- 分析了1,229名患者,46.5%的患者安装了排水道.
- 增加排水概率的因素:BMI≥30,ASA得分3−5,胸部裂/胸下方针,手术时间≥90分钟,耳鼻喉科外科医生.
- 排水管的使用没有影响血液瘤,但增加了住院时间.
结论:
- 甲状腺切除术可以安全地在没有排水的情况下进行.
- 个性化患者评估对于决定排水位置至关重要.
- 排水管的使用与更长的住院时间有关,而没有预防血液瘤.
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