儿科年龄的甲状腺手术:10年在一个中心的经验和文献审查
Orhan Asya1, Ali Cemal Yumusakhuylu1, Yavuz Gundogdu1
1Department of Otolaryngology, Pendik Training and Research Hospital, Marmara University, Istanbul, Türkiye.
Journal of pediatric endocrinology & metabolism : JPEM
|January 3, 2025
概括
儿童甲状腺手术虽然很少见,但显示结是干预的主要原因. 经验丰富的外科医生可降低针对各种病态进行甲状腺手术的儿童的并发症风险.
科学领域:
- 儿科手术 儿科手术
- 内分泌学 在内分泌学.
- 甲状腺病理 甲状腺病理
背景情况:
- 甲状腺疾病手术在儿童群体中很少发生.
- 了解儿童手术结果对于有效治疗至关重要.
研究的目的:
- 介绍儿童甲状腺病理的手术治疗10年的机构经验.
- 审查有关小儿甲状腺手术结果的文献.
主要方法:
- 对接受甲状腺手术的儿科患者的回顾性审查.
- 从2013年4月到2023年10月收集的数据.
主要成果:
- 57名儿科患者 (平均年龄15岁) 接受了甲状腺手术.
- 结节是最常见的症状 (71.9%),其次是格雷夫氏病和.
- 在63.2%的患者中诊断出甲状腺瘤,主要是乳头甲状腺癌 (PTC).
- 并发症的发生率包括暂时/永久的声带 (5.3%/3.5%) 和低血症 (22.8%暂时,3.5%永久).
- 新生体的存在与低热血症或声带没有显著的相关性.
结论:
- 儿童甲状腺病理需要多学科的方法.
- 手术管理必须与儿科指导方针保持一致.
- 经验丰富的外科医生与明显较低的并发症率有关.
相关概念视频
The Thyroid Gland
The thyroid gland is a small, butterfly-shaped gland located in the neck and covers the anterior surface of the trachea. The gland has two lateral lobes connected by a thin tissue mass called the isthmus. Internally, each lobe comprises many small spherical structures known as thyroid follicles, surrounded by a network of blood vessels.
The follicles have a central cavity lined by simple cuboidal to squamous epithelial cells called follicular cells. These cells produce the glycoprotein...
The follicles have a central cavity lined by simple cuboidal to squamous epithelial cells called follicular cells. These cells produce the glycoprotein...
Synthesis and Regulation of Thyroid Hormones
Low blood levels of the thyroid hormones — triiodothyronine (T3) and thyroxine (T4) — signal the hypothalamus to release the thyrotropin-releasing hormone (TRH). TRH then reaches the pituitary gland and stimulates the release of thyroid-stimulating hormone(TSH) into the bloodstream.
Upon reaching the thyroid gland, TSH stimulates the follicular cells' active uptake of iodide ions from the blood. The ions diffuse to the apical surface of the cells and are oxidized to iodine. The iodine is then...
Upon reaching the thyroid gland, TSH stimulates the follicular cells' active uptake of iodide ions from the blood. The ions diffuse to the apical surface of the cells and are oxidized to iodine. The iodine is then...


