整体甲状腺切除术与亚整体甲状腺切除术作为良性甲状腺疾病的合适手术
W M El-Sayed1, S Elhariri2, M S F Mekhaeel3
1Department of Surgery Military Medical Academy, Cairo, Egypt. Email: sherreenelhariri@imu.edu.my. Tel., (+60) 1137778327.
West African journal of medicine
|September 28, 2024
概括
针对良性甲状腺疾病的全甲状腺切除术 (TT) 和亚全甲状腺切除术 (STT) 的并发症率相似. TT提供了一个永久的治愈,没有复发,而STT带有复发和偶然恶性瘤的风险.
科学领域:
- 内分泌手术 内分泌手术
- 手术瘤学手术瘤学
- 甲状腺学 甲状腺学
背景情况:
- 甲状腺疾病的管理涉及各种手术选择,包括分叶切除术,亚全甲状腺切除术 (STT) 和全甲状腺切除术 (TT).
- 当保守措施失败或出现并发症时,良性甲状腺疾病需要手术干预.
研究的目的:
- 为了比较双边良性甲状腺疾病患者的全甲状腺切除术 (TT) 与亚全甲状腺切除术 (STT) 的并发症率.
- 评估两个手术方法的手术时间,住院时间和长期结果,包括复发和偶然恶性瘤.
主要方法:
- 一项涉及60名患有良性的患者的比较研究.
- 32名患者接受了全甲状腺切除术 (TT),28名患者接受了亚全甲状腺切除术 (STT).
- 收集的数据包括手术的指示,手术时间,住院时间和术后并发症.
主要成果:
- 过渡性复发性喉神经 (RLN) 麻发生在6.25%的TT患者和3.57%的STT患者中.
- 在9.38%的TT患者和7.14%的STT患者中观察到暂时性偏偏甲状腺症.
- 永久性并发症很少见,在TT组中有一例永久的RLN和副甲状腺功能低下症;在STT组中没有出现永久性并发症. 在7.14%的STT患者中发现了子复发,在两组中都发现了偶发性恶性瘤.
结论:
- 全甲状腺切除术 (TT) 是双边良性甲状腺疾病的合适手术选择,其并发症率,手术时间和住院时间与亚全甲状腺切除术 (STT) 相当.
- TT提供了最终的治疗方法,消除了子复发的风险.
- TT还允许检测和管理偶然的甲状腺恶性瘤,这可能会错过STT.
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