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格雷夫斯病的外科治疗结果:跨椎vs跨口甲状腺切除术

Stefanie Seo¹, Oren Wei¹, Max Plitt^2,3

¹Department of Otolaryngology-Head & Neck Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.

Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery

|December 7, 2025

概括

透口内镜甲状腺切除术前庭切除方法 (TOETVA) 和横甲状腺切除术对格雷夫斯病的并发症率相似. 患者的偏好和共享决策是选择最佳手术方法的关键.

科学领域:

内分泌学在内分泌学.
手术瘤学手术瘤学
最少侵入性的手术

背景情况:

格雷夫斯病是一种自身免疫性疾病,导致甲状腺功能增强症.
全甲状腺切除术是对格雷夫斯病的常见手术治疗方法.
手术方法的目的是尽量减少并发症并改善患者的结果.

研究的目的:

为了比较透口内镜甲状腺切除术前庭治疗方法 (TOETVA) 和椎全甲状腺切除术对格雷夫斯病的外科结果.
评估两种方法的并发症率,患者人口统计和手术变量.

主要方法:

追溯队列研究,包括152个宫和81个横口病例.
患者在2016年9月至2024年3月期间选择了他们的手术方法.
排除标准包括年龄在18岁以下,部剖析或重新手术.

主要成果:

在TOETVA和跨宫治疗方法之间,并发症率 (小和大) 没有显著差异.
在这两组中,暂时性偏偏甲状腺症是最常见的轻微并发症.
多变量回归证实手术方法与并发症率之间没有关联.

结论:

托特瓦切除术和跨部全甲状腺切除术都对格雷夫斯病的治疗安全有效.
在这两种方法之间,手术结果和并发症率是可比的.
外科医生和患者之间的共同决策对于选择最佳外科手术方法至关重要.

关键词:

格雷夫斯病是什么?外科手术的结果.甲状腺切除术是指甲状腺切除术.跨门的方法 (TCA)横向的方法 (TOA)透口内镜甲状腺切除术前体方法 (TOETVA)

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