甲状腺手术中的术后出血风险:常规和内镜视频辅助部手术方法之间的差异
Marie Saitou1, Haruki Akasu2, Tomoo Jikuzono1
1Department of Endocrine Surgery, Nippon Medical School.
Journal of Nippon Medical School = Nippon Ika Daigaku zasshi
|November 6, 2024
概括
甲状腺切除术后的术后出血与抗血栓治疗或透析有关. 与传统方法相比,内镜手术显示出类似的出血率,但出血部位不同.
科学领域:
- 内分泌学 在内分泌学.
- 手术瘤学手术瘤学
- 胃肠病学 胃肠病学
背景情况:
- 手术后出血是甲状腺切除术后的一个严重并发症.
- 风险因素和出血的时间尚未完全理解.
- 日本内镜甲状腺切除术 (VANS) 的出血率尚不清楚.
研究的目的:
- 为了确定甲状腺切除术后术后出血的危险因素和时间.
- 为了比较常规和内镜甲状腺切除术之间的出血率和出血部位.
主要方法:
- 追溯的病例控制研究.
- 对因术后出血而重新入院的患者的分析.
- 多变量分析以确定独立的风险因素.
主要成果:
- 整体手术后出血率为1.85%.
- 抗血栓治疗 (OR 2.95) 和透析 (OR 6.53) 是独立的危险因素.
- 56.1%的出血发生在6小时内,93.0%发生在24小时内.
- 内镜外科手术出血率为1.6%.
- 出血部位不同:常规手术中的甲状腺区域,内镜手术中的片区域.
结论:
- 抗血栓治疗和透析增加了甲状腺切除术后出血的风险.
- 内镜甲状腺切除术的出血率与传统手术相比较.
- 流血的主要部位在手术方法之间有所不同.
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