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在儿科甲状腺切除术中重新考虑排水协议.

Kaitlyn Zenner1, Ashley L Soaper2, Charles M Myer2

  • 1Division of Pediatric Otolaryngology, Cincinnati Children's Hospital Medical Center, 3333 Burnett Ave, Cincinnati, OH, 45229, USA.

International journal of pediatric otorhinolaryngology
|October 9, 2025
PubMed
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此摘要是机器生成的。

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对于小儿甲状腺切除术,使用排水器并没有增加血瘤,血清瘤或感染等并发症风险. 在儿科甲状腺切除术中省略排水是安全的,可能不必要,特别是在中央部解剖时.

科学领域:

  • 儿科手术 儿科手术
  • 内分泌手术 内分泌手术
  • 外科手术的结果

背景情况:

  • 儿童甲状腺切除术很少见,对排水使用并发症的数据有限.
  • 成人研究表明,排水可能会增加感染风险,但不会减少血瘤/血清瘤.
  • 这项研究涉及小儿甲状腺切除术患者的排水使用影响.

研究的目的:

  • 为了确定排水位是否会影响小儿甲状腺切除术中术后并发症的发生率.
  • 分析并发症的相对风险,比较排水与无排水组.

主要方法:

  • 21岁以下接受甲状腺切除术 (带/不带部剖析) 的患者的回顾病例系列.
  • 从2011年7月到2024年10月在一家三级儿童医院收集的数据.
  • 主要结局:与排水使用相关的并发症的相对风险.

主要成果:

  • 在289名患者中进行了310次手术;在34.2%的甲状腺切除术中使用了排水,而没有进行部剖析.
  • 部解剖没有出现任何并发症,无论使用排水道.
  • 血液瘤 (1),感染 (3) 和血清瘤 (1) 是罕见的;排水使用没有明显的关联与风险增加.

结论:

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  • 甲状腺切除术后的并发症在儿童中并不常见.
  • 在这个儿科队列中,放弃排水放置并没有增加并发症风险.
  • 对于小儿甲状腺切除术来说,排水可能并不必不可少,尤其是在进行中央部剖析时.