术后并发症和长期结果后的全额和亚全额甲状腺切除术:一个回顾性研究
Sobhan Javidi1, Sepehr Sadrizadeh2, Ali Sadrizadeh3
1Department of Medicine, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Scientific reports
|January 29, 2025
概括
整体甲状腺切除术 (TT) 的并发症比亚整体甲状腺切除术 (STT) 的并发症更多. 这项研究比较了TT和STT的结果,发现TT与较高的低血病率有关. 根据个体患者的风险和益处来定制甲状腺切除术的选择.
科学领域:
- 内分泌学 在内分泌学.
- 手术瘤学手术瘤学
- 一般外科 整体外科
背景情况:
- 在全甲状腺切除术 (TT) 和亚全甲状腺切除术 (STT) 之间进行选择会影响患者的治疗结果.
- 甲状腺切除术是各种甲状腺疾病的常见手术.
研究的目的:
- 为了比较术后并发症和长期结果的TT与STT.
- 分析手术方法与特定并发症之间的关系,如重复性喉神经损伤和低血症.
主要方法:
- 在2011年至2017年间接受甲状腺切除术的1,022名患者的回顾性分析.
- 通过检查清单收集数据,重点关注术后并发症,复发率和整体存活率.
主要成果:
- 71.2%的患者接受了TT,而28.8%的患者有STT.
- 在6.1%的患者中发生了重复的喉神经损伤,TT和STT之间没有显著差异.
- 低血症与甲状腺切除术具有统计学意义的相关性,TT与更高的并发症率有关.
结论:
- 整体甲状腺切除术与部分甲状腺切除术相比,与术后并发症的增加有关.
- 个性化治疗计划至关重要,为甲状腺切除术患者权衡每种手术方法的风险和益处.
相关概念视频
Endoscopic Studies II: Thoracocentesis
196
Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
196
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
46
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
46
Tonsillitis II: Management
103
This lesson will focus on the different treatment options for managing tonsillitis, which typically depend on the cause and severity.
103
Appendicitis-II: Diagnostic Studies and Management
62
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
62
Tracheostomy: Procedure and Tubes
382
A tracheostomy is a surgical procedure that creates an artificial opening into the trachea, typically at the second or third cartilaginous ring level. This opening allows the insertion of a tracheostomy tube, which can replace an endotracheal tube, provide mechanical ventilation, bypass an upper airway obstruction, or remove accumulated tracheobronchial secretions.
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...
382
Synthesis and Regulation of Thyroid Hormones
4.1K
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...
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...
4.1K


