相关实验视频
Updated: Jan 10, 2026

04:09
Minimal Invasive Resection of Large Retrosternal Thyroid Goiter
Published on: September 20, 2024
797
在没有并发症的甲状腺和副甲状腺手术后吞功能障碍:对早期和晚期术后变化的前性评估
Sibel Alicura Tokgöz1, Güleser Saylam2, Ömer Bayır3
1Department of Otorhinolaryngology Head and Neck Surgery, Ankara Etlik City Hospital University of Health Sciences, Yenimahalle, Ankara, Turkey. sibel.alicuratokgoz@sbu.edu.tr.
Dysphagia
|November 19, 2025
概括
在甲状腺手术后,缺是常见的,随着手术的程度增加,风险会增加. 早期评估和干预对于管理吞困难和改善患者手术后的生活质量至关重要.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 手术瘤学手术瘤学
- 胃肠病学 胃肠病学
背景情况:
- 消化不良 (吞困难) 是头部和部手术 (包括甲状腺切除术) 后的一种已知的并发症.
- 虽然经常与喉神经损伤有关,但即使没有神经损伤,也可能发生食障碍.
- 了解甲状腺和副甲状腺手术后的消化不良的发生率和影响对于患者的护理至关重要.
研究的目的:
- 为了评估甲状腺和副甲状腺手术后的功能障碍的频率,严重程度和临床进展.
- 为了确定手术后食障碍对患者生活质量的影响.
- 为了在这个患者群体中为缺食症提供最佳的管理策略.
主要方法:
- 76名患者的前性评估进行了副甲状腺切除术,全甲状腺切除术与中央部剖析,或全甲状腺切除术没有中央部剖析.
- 通过光纤内镜吞评估 (FEES) 评估的吞功能.
- 使用吞生活质量 (Swal-QoL) 问卷和进食评估工具 (EAT-10) 在手术前和手术后的第1周和第8周评估生活质量.
主要成果:
- 早期的术后吞变化在16% (副甲状腺切除术),20% (没有剖析的甲状腺切除术) 和36% (带剖析的甲状腺切除术) 的患者中被发现.
- 组之间观察到FEES,EAT-10和Swal-QoL分数的显著差异.
- 带有中心剖析的甲状腺切除术导致早期客观吞障碍和持续的主观投诉,而没有剖析的甲状腺切除术主要影响了患者报告的结果.
结论:
- 缺食症是甲状腺和副甲状腺手术后的常见并发症,发生率与手术程度相关.
- 副甲状腺切除术患者的吞变化很小,而甲状腺切除术患者,特别是经过中央部解剖的患者,面临着更大的挑战.
- 常规的术后吞评估,手术前咨询和及时康复对于控制食症和保持长期生活质量至关重要.
相关概念视频
Upper GI Series: Barium Swallow
1.4K
The Barium Swallow Study, or a Barium Esophagogram, is a diagnostic imaging method used to visualize the upper gastrointestinal (GI) tract, including the esophagus, stomach, and small intestine. It employs barium sulfate, a radiopaque contrast material, to provide clear images of the upper digestive system, helping to identify abnormalities, diseases, or structural issues.
Purpose and Procedure
Patients undergoing this procedure ingest a liquid containing barium sulfate with a chalky...
Purpose and Procedure
Patients undergoing this procedure ingest a liquid containing barium sulfate with a chalky...
1.4K
The Thyroid Gland
6.6K
The thyroid gland is a small, butterfly-shaped gland located in the neck and covers the anterior surface of the trachea. The gland has two lateral lobes connected by a thin tissue mass called the isthmus. Internally, each lobe comprises many small spherical structures known as thyroid follicles, surrounded by a network of blood vessels.
The follicles have a central cavity lined by simple cuboidal to squamous epithelial cells called follicular cells. These cells produce the glycoprotein...
The follicles have a central cavity lined by simple cuboidal to squamous epithelial cells called follicular cells. These cells produce the glycoprotein...
6.6K
Appendicitis-II: Diagnostic Studies and Management
470
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
470
Chronic Pharyngitis
10.7K
Chronic pharyngitis refers to persistent inflammation of the pharyngial mucosa.
Etiology
It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
Additional contributing factors include inadequate dental hygiene, mouth breathing, recurring tonsillitis, allergic rhinitis, laryngopharyngeal reflux, and exposure to smoke, chemicals, and other environmental pollutants. Allergic reactions to pollen, mold, and pet dander, chronic cough, excessive voice usage,...
Etiology
It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
Additional contributing factors include inadequate dental hygiene, mouth breathing, recurring tonsillitis, allergic rhinitis, laryngopharyngeal reflux, and exposure to smoke, chemicals, and other environmental pollutants. Allergic reactions to pollen, mold, and pet dander, chronic cough, excessive voice usage,...
10.7K
Enteral Nutrition I: Orogastric and Nasogastric Feeding
1.2K
Enteral nutrition delivers nutrients directly to the stomach or small intestine through a tube. This method is appropriate for patients who cannot eat but still have a functioning digestive system. It is also beneficial for individuals with swallowing difficulties, anorexia, malabsorption, or those who have undergone gastrointestinal (GI) surgery.
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
1.2K
Cardiomyopathy VII: Pre and Post Operative Nursing Management
264
Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
264

