最近COVID-19感染对接受甲状腺手术的患者的影响:临床结果和患者感知观察
Mengjia Fei1, Yuan Shi, Kai Qian
1Department of Head and Neck Surgery, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.
Medicine
|December 10, 2025
概括
在COVID-19后进行甲状腺手术是可行的. 术后不良事件与严重急性呼吸系统综合征-CoV-2 免疫球蛋白G (IgG) 水平和CT扫描中的肺损伤不完全吸收有关.
科学领域:
- 内分泌学 在内分泌学.
- 传染性疾病 传染性疾病
- 手术瘤学手术瘤学
背景情况:
- 冠状病毒疾病2019 (COVID-19) 可能会影响患者的健康和手术结果.
- 在COVID-19后的患者中了解与甲状腺手术相关的风险对于临床管理至关重要.
研究的目的:
- 评估COVID-19感染后接受甲状腺手术的患者的病情和潜在的手术风险.
- 在这个患者队列中确定影响术后不良事件的因素.
主要方法:
- 分析了140名在2022年10月至2023年3月期间接受甲状腺手术的患者队列.
- 患者根据COVID-19感染后的时间进行分组.
- 收集和分析了手术前和手术后的临床数据,包括主观经验.
主要成果:
- 不同的COVID-19后组之间没有观察到术后不良反应或喉痛得分的显著差异.
- 严重急性呼吸道综合征-CoV-2 免疫球蛋白G (IgG) 水平升高与术后不良事件的可能性增加相关 (P=0.02).
- 在手术前的CT扫描中,肺部感染病变的不完全吸收也增加了不良反应的可能性 (P=0.04).
结论:
- 在COVID-19感染后的早期甲状腺手术在经过彻底的手术前评估后被认为是可行的.
- 严重急性呼吸道综合征-CoV-2 IgG 水平和手术前肺部CT检测结果是评估手术风险的有价值指标.
- 纳入IgG测试可能有助于预测和减轻后COVID-19患者的不良外科事件.
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