肥胖和甲状腺切除术特异性的术后结果的关联
Kelvin Memeh1, Sara Abou Azar2, Oluwasegun Afolaranmi3
1Department of Surgery, Methodist University Hospital, Memphis, Tennessee, USA.
World journal of surgery
|December 9, 2024
概括
肥胖增加了甲状腺切除术后声音声和部血瘤的风险,但降低了低血症的发生率. 这项研究分析了24,370名患者,以了解肥胖症.
科学领域:
- 内分泌学 在内分泌学.
- 外科手术的结果
- 公共卫生 公共卫生
背景情况:
- 有限的大规模数据存在于肥胖对甲状腺切除术结果的影响.
- 本研究使用全面的真实世界手术数据集来解决这一差距.
研究的目的:
- 评估肥胖和甲状腺切除术特异性结果之间的关联.
- 分析主要结果 (声音声,部血瘤,低血症) 和次要结果 (手术时间,停留时间).
主要方法:
- 利用了2016-2019年美国外科医生学院国家外科质量改善计划的针对性甲状腺切除术数据集.
- 采用反向概率加权 (IPW) 模型来评估按世卫组织肥胖标准分类的体重指数 (BMI) 的影响.
- 进行敏感性分析以确保调查结果的可靠性.
主要成果:
- 分析了24370名平均BMI为30.6.6的患者.
- 肥胖 (BMI>30) 与术后增加的声音声 (RR 1.12) 和部血瘤 (RR 1.25) 有关.
- 肥胖也与低血症的降低率 (RR 0.81),更长的手术时间 (6.33分钟) 和延长停留时间 (1.36小时) 相联系.
结论:
- 肥胖与更高的发声和部血瘤后甲状腺切除术发生率有关.
- 相反,肥胖与手术后低血症风险较低相关.
- 这些发现突出了肥胖对甲状腺切除术结果的微妙影响,为手术风险评估提供了信息.
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