日本的内镜甲状腺和副甲状腺手术:使用日本索赔数据库的队列研究
Yo Kishimoto1, Kayoko Mizuno2,3, Yoshitaka Kawai1
1Department of Otolaryngology-Head & Neck Surgery, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
Acta oto-laryngologica
|July 8, 2025
概括
在日本,内镜甲状腺和副甲状腺手术的并发症率很低. 男性性别是出血的危险因素,全甲状腺切除术与低血症有关,这表明安全性较好.
科学领域:
- 最少的侵入性手术是最少的侵入性手术.
- 内分泌外科手术是一种内分泌手术.
- 新生体外科手术是一项新生体外科手术.
背景情况:
- 微创手术技术对于提高安全性和减少瘤手术并发症至关重要.
- 自2016年以来,日本已经提供了内镜甲状腺和副甲状腺手术.
研究的目的:
- 评估手术后并发症的发生频率.
- 为了确定内镜甲状腺和副甲状腺手术中并发症的危险因素.
主要方法:
- 使用全国范围的保险索赔数据库进行回顾性队列研究.
- 包括接受了内镜甲状腺或副甲状腺手术的患者 (2016年4月 - 2022年12月).
- 使用后勤回归分析并发症的分析,包括RLN,低血症,出血,感染和喉水.
主要成果:
- 在274名患者中观察到15例 (5.47%) 复发性喉神经 (RLN) ,14例 (5.11%) 低血症,5例 (1.82%) 术后出血.
- 男性的性别是术后出血的重要危险因素.
- 整体甲状腺切除与低血症有关.
结论:
- 日本的内镜甲状腺和副甲状腺手术表现出良好的安全性.
- 在研究的患者队列中观察到较低的并发症率.
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