在甲状腺切除术中使用排水道的实践变化,趋势和结果:NSQIP研究
Kelvin Memeh1, Sara Abou Azar2, Oluwasegun Afolaranmi3
1Department of Surgery, Methodist University Hospital, Memphis, TN, USA.
American journal of surgery
|October 9, 2024
概括
甲状腺切除术排水管的使用正在减少,但根据专业而异. 虽然与更长的住院时间有关,但排水不会影响术后部血瘤的发生率.
科学领域:
- 手术瘤学手术瘤学
- 内分泌手术 内分泌手术
- 患者研究成果研究结果
背景情况:
- 甲状腺切除术后手术排水的临床益处在外科医生之间仍在争论.
- 在不同的外科实践中,排水利用的变化存在.
研究的目的:
- 在接受甲状腺切除术的患者中调查排水使用的趋势和实用性.
- 评估排水使用对术后部血瘤和停留时间的影响.
主要方法:
- 来自2016-2019年NSQIP数据库的24,370名甲状腺切除术患者的回顾性横截面分析.
- 使用逆概率加权回归和多变量逻辑回归来评估结果和实践变化.
- 作为结果,检查了手术后部血瘤 (初级) 和停留时间 (二级).
主要成果:
- 排水使用总体下降,但同时进行部剖析时增加.
- 耳鼻喉 (ENT) 外科医生比一般外科医生更频繁地使用排水器.
- 排水与逗留时间的延长 (增加9.6小时) 有关,但对术后部血瘤发生率没有显著影响.
结论:
- 甲状腺切除术后手术排水的使用正在下降,但在各专业之间仍然存在显著的实践差异.
- 术后排水与住院时间的延长有关,但血液瘤形成的明显减少没有.
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