胸内甲状腺休息:一个更新的分类和病例系列.
Hazel Serrao-Brown1, Jakob Kostenbauer1, Alex Papachristos1
1Endocrine Surgery Unit, University of Sydney, Royal North Shore Hospital, St Leonards, New South Wales, Australia.
ANZ journal of surgery
|December 12, 2024
概括
建议对完全断开的甲状腺休息物进行新的V级分类. 识别这些"被遗忘的"对于预防手术后复发至关重要.
科学领域:
- 内分泌学 在内分泌学.
- 手术病理学手术病理学
- 胚胎学 胚胎学
背景情况:
- 甲状腺残留物是常见的胚胎遗留物,有可能导致病理.
- 现有的分类 (I-IV级) 描述了与甲状腺的不同程度的连接.
- 对于完全胸内,脱节的甲状腺残余物,提出的V级分类.
研究的目的:
- 引入和验证提议的甲状腺残留物V级分类.
- 突出识别和完全切除V级休息的临床意义.
- 要强调如果错过了这些休息,中肠的复发潜力.
主要方法:
- 针对良性背面甲状腺疾病的甲状腺切除术病例的回顾性审查 (2015年1月 - 2022年1月).
- 包括患者的人口统计,手术前工作,手术内发现,组织病理和并发症.
- 根据甲状腺与甲状腺的连接来识别和分类甲状腺残留物.
主要成果:
- 1087次甲状腺切除术为良性逆侧侧进行.
- 在20名患者中发现了26例V级休息 (1.8%的患病率).
- 五级休息的手术涉及椎切割或手臂切割,通常是压缩症状.
结论:
- 识别完全断开的甲状腺休息点 (五级) 是非常重要的.
- 为了有效的手术规划,需要量身定制的手术前评估.
- 不完全切除V级休息物可能导致持续或反复出现的"被遗忘的".
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