在儿科患者的全甲状腺切除术后,甲状腺功能低下的潜在决定因素和预测因素
Amit Ritter1,2, Yonatan Reuven3,4, Nir Tsur3,4
1Department of Otolaryngology Head and Neck Surgery, Rabin Medical Center, Petah Tikva, 49100, Israel. amit.ritter@gmail.com.
概括
年龄较小的儿童和甲状腺外延伸 (ETE) 患者在甲状腺手术后面临永久性甲状腺缺陷症的风险更高. 手术后的水平可以预测这种并发症.
科学领域:
- 儿科手术 儿科手术
- 内分泌学 在内分泌学.
- 在瘤学瘤学.
背景情况:
- 甲状腺切除术后的甲状腺缺血症 (HPT) 是一个已知的并发症.
- 在接受全甲状腺切除术的儿科患者中,HPT的危险因素尚未得到充分确定.
研究的目的:
- 在全甲状腺切除术后的儿童中识别过渡性和永久性HPT的预测因素.
主要方法:
- 在2001年至2019年期间在第三级医疗中心接受甲状腺手术的儿科患者的回顾性图表审查.
- 对患者人口统计,手术因素和术后水平的分析.
主要成果:
- 在70名患者中,16%的人患有HPT (14%是短暂的,9%是永久的).
- 与整体HPT相关的因素包括中央隔间部剖析,较大的结节大小,恶性瘤和甲状腺外延伸 (ETE).
- 永久性HPT与ETE和较年轻的年龄 (平均10.5岁) 有关. 手术后的水平也显示出预测价值.
结论:
- 年龄较小 (<10.5岁) 和ETE是儿科全甲状腺切除术后永久性HPT的危险因素.
- 术后监测对于预测和管理永久性HPT至关重要.
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