甲状腺和副甲状腺手术中的争议
Courtney Brooke Shires1, Aaron Parsons2, Karuna Dewan2
1Division of Head & Neck Surgical Oncology, West Cancer Institute, Memphis, TN, USA.
American journal of otolaryngology
|July 22, 2025
概括
针对证据,审查了常见的甲状腺和副甲状腺手术实践,包括神经监测和呼吸道管理. 确定了10个常见的外科神话,通过基于证据的修改提供了改善患者护理的机会.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 内分泌学 在内分泌学.
- 手术瘤学手术瘤学
背景情况:
- 甲状腺和副甲状腺手术的临床实践往往基于深入的信念.
- 一些既定做法可能根植于过时或不准确的证据.
- 这可能导致患者的治疗结果低于最佳.
研究的目的:
- 批判性地分析甲状腺和副甲状腺手术中常见的做法.
- 识别和反驳当前科学文献不支持的临床实践.
- 促进手术护理中的基于证据的决策.
主要方法:
- 观察了临床实践模式,并与现有文献进行了比较.
- 确定了强烈沟通但缺乏证据的做法.
- 一份"神话"列表是基于与已发表证据的不一致性而编制的.
主要成果:
- 在甲状腺和副甲状腺手术中,十种常见的实践模式被确定为"神话".
- 其中包括与肌肉松剂,呼吸道管理,CT对比使用和神经监测相关的实践.
- 这些做法被发现与高质量的公布证据不符.
结论:
- 临床医生努力在甲状腺和副甲状腺手术中获得最佳结果.
- 强烈坚持的做法可能会继续存在,尽管有证据支持替代方案.
- 修改基于证据的10种已识别的做法可以导致改善,不那么复杂或更精确的患者护理.
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