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腹下的外科治疗:系统性审查和元分析
Matthew H Cheung1,2, Angelica M Walker1, Shaun A Nguyen1
1Medical University of South Carolina, Department of Otolaryngology-Head and Neck Surgery, Charleston, South Carolina, USA.
The Laryngoscope
|August 26, 2025
概括
虽然许多患者没有症状,但症状或成像显示出子下部的手术. 宫接近通常是足够的,很少需要胸部干预.
科学领域:
- 内分泌学
- 外科瘤学
- 胸部手术
背景情况:
- 在诊断和治疗方面存在挑战.
- 外科干预的迹象需要明确的定义.
- 最好的手术方法, 宫与胸部, 需要澄清.
研究的目的:
- 确定外科手术干预的指示.
- 确定何时需要进行胸腔干预
主要方法:
- 102项研究的系统审查和元分析.
- 包括15719名因下侧而接受甲状腺切除术的患者.
- 分析患者的人口统计,症状,成像发现,以及手术结果.
主要成果:
- 最常见的症状是部质量 (71. 1%) 和压力症状 (64. 8%).
- 27. 6% 的患者无症状; 48. 6% 没有压缩成像发现.
- 在88.7%的病例中,使用宫方法是足够的;在10.4%的病例中,需要进行胸部干预.
结论:
- 腹下的外科治疗主要是症状性或基于成像压缩.
- 很大一部分患者无症状或缺乏压缩成像结果.
- 宫接近通常是充足的,这表明胸部干预的需要有限.
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