在单方面甲状腺切除术后,与输管相关的声带的发生率和危险因素
Takumi Harata1, Ryosuke Yamamoto2, Takashi Fujiwara1,3
1Department of Anesthesiology, Kurashiki Central Hospital, Kurashiki, Japan.
JA clinical reports
|December 27, 2025
概括
输管术后的声带麻 (VCP) 比想象中的更常见,特别是在甲状腺切除术期间的非手术方面. 体重不足的患者患这种并发症的风险更高.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 麻醉学 麻醉学
- 手术并发症 手术并发症
背景情况:
- 声带麻 (VCP) 是已知的内管内输管的并发症.
- 以前的研究集中在单边甲状腺切除术后的手术方面,忽视了非手术方面.
- 在非手术方面,输管诱导的VCP的发生率仍未得到充分报告.
研究的目的:
- 在接受甲状腺切除术的患者中,确定非手术侧输管诱导的声带的发生率.
- 为了确定与这种并发症相关的危险因素.
主要方法:
- 在2010年至2018年期间,对339名接受了甲状腺切除术的患者进行了回顾性队列研究.
- 使用灵活内镜进行了常规的术前和术后喉检查.
- 分析了患者人口统计,手术细节和VCP发生率的数据.
主要成果:
- 在非手术方面,输管诱导的VCP发生率为2.4% (8/339).
- 患有VCP的患者的体重和体重指数明显较低,这表明体重不足的人可能更容易受到伤害.
- 大多数VCP病例都是短暂的,在两个月内消失. 没有发现与年龄,手术持续时间,输管大小或输管方法的显著关联.
结论:
- 在非手术方面,输管诱导的VCP比以前报告的更频繁.
- 体重不足患者的风险增加.
- 常规的术后喉部评估对于检测无症状病例和了解风险因素至关重要.
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