在过去的25年里,甲状腺手术的变化
Beata Wojtczak1, Monika Sępek2, Krzysztof Sutkowski2
1University Centre of General and Oncological Surgery, Wroclaw Medical University, Borowska Street 213, 50-556, Wroclaw, Poland. beata.wojtczak@umw.edu.pl.
Scientific reports
|April 25, 2025
概括
在过去的25年里,甲状腺手术进化了,对于癌症而言,甲状腺切除术总数越来越多. 虽然神经损伤率保持稳定,但术后偏甲状腺功能障碍症增加,凸显了对先进手术技术的需求.
科学领域:
- 内分泌学 在内分泌学.
- 手术瘤学手术瘤学
- 甲状腺学 甲状腺学
背景情况:
- 甲状腺疾病需要及时诊断和治疗.
- 在过去的25年里,甲状腺疾病管理方面取得了重大进展.
- 大量的内分泌中心对于分析手术趋势至关重要.
研究的目的:
- 为了分析25年的甲状腺手术经验,在一个大容量的内分泌中心.
- 为了评估人口结构的变化,手术指示,手术类型和并发症率.
- 为了比较两个不同的时间段 (1996-2003 vs. 2011-2020) 的外科手术结果.
主要方法:
- 从1996年至2020年间,对3748名接受甲状腺手术的患者进行了回顾性分析.
- 两个时期的比较:第一期 (1996-2003) 和第二期 (2011-2020).
- 统计分析以评估人口统计,手术程度和并发症率的变化.
主要成果:
- 观察到甲状腺癌手术的统计显著增加 (p < 0.00001).
- 甲状腺切除术的程度从部分切除发生了显著的转变到完全切除 (p < 0.00001).
- 再发性喉神经麻的发病率保持不变 (p = 0.1785),但术后偏偏甲状腺症增加 (p < 0.00001).
结论:
- 甲状腺手术已经发展成为更广泛的手术,特别是甲状腺癌.
- 引入诸如手术内神经监测等技术,会影响手术结果.
- 虽然保持神经的保护,但在增加的全甲状腺切除术后,仔细管理甲状腺功能障碍症至关重要.
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