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作为甲状腺手术的术后并发症的霍纳综合征:系统性审查

Tianhao Xie^1,2, Yan Fu³, Xiaoshi Jin¹

¹Department of General Surgery, Affiliated Hospital of Hebei University, Baoding, Hebei, China.

Frontiers in endocrinology

|October 17, 2025

概括

霍纳综合征 (HS) 是甲状腺手术 (TS) 的罕见并发症,发生在0.25%的病例中. 早期识别和细致的手术技术对于预防宫交感链损伤和改善患者的治疗结果至关重要.

科学领域:

眼科医生眼科眼科
神经外科神经外科
内分泌学在内分泌学.

背景情况:

霍纳综合征 (HS) 是甲状腺手术 (TS) 后的一种罕见但显著的并发症.
在TS期间宫交感链 (CSC) 的损伤可以导致HS.
了解HS后TS的发病率和特征对于手术意识至关重要.

研究的目的:

系统地审查甲状腺手术后霍纳综合征的文献.
提高外科医生对HS的认识,作为TS的潜在并发症.
分析TS后HS的发病率,表现和结果.

主要方法:

使用Web of Science,PubMed,Cochrane图书馆和Embase进行了系统的文学搜索.
搜索遵循PRISMA框架,涵盖2000年1月1日至2025年6月1日的出版物.
包括的研究包括14个病例系列和36个病例报告,记录了40个TS后HS病例.

主要成果:

在TS后的HS总发病率为0.25%,在开放手术 (0.41%) 和内镜手术 (0.15%) 中的发病率更高.
与成人 (0.22%) 相比,接受开放性手术的儿科患者的发病率明显高 (1.84%).
死是最常见的症状,通常在3天内出现;如果适当治疗,可能在一年内恢复.

结论:

霍纳综合征是甲状腺手术的罕见但重要的并发症,通常是由于宫交感链创伤造成的.
外科医生必须保持对HS的警,并使用细致的技术来防止CSC损伤.
使用类固醇和神经营养药物及时治疗可能有助于缓解症状和恢复.

关键词:

霍纳综合征是霍纳综合征的一种症状.这是一个复杂的并发症.甲状腺是什么?甲状腺是什么?甲状腺癌是一种癌症.甲状腺切除术是指甲状腺切除术.

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