中国普通外科杂志2011，Vol.20Issue(11)：1171-1174,4.
甲状腺全切除术的手术并发症分析
Surgical complications of total thyroidectomy
刘木元 1杨熙鸿 1郭海鹏 1林建英 1陈伟正 1彭汉伟1
作者信息
- 1. 汕头大学医学院附属肿瘤医院头颈科,广东汕头515031
- 折叠
摘要
Abstract
Objective To investigate the surgical complications of total thyroidectomy ( TT ) and their associated risk factors. Methods The clinical data of 172 patients who underwent TT under surgical loupes from January 2007 to December 2009 in our hospital were retrospectively reviewed. The intraoperative and postoperative complications were recorded and the possible factors responsible for surgical complications of TT were analyzed. Results Of the whole group, the exposure rate of the parathyroid glands and the recurrent laryngeal nerves was 96. 5% and 98. 3% , respectively. The exposure rate of the parathyroid glands of the patients undergoing primary surgery was higher than that of the patients undergoing secondary surgery (98.7% vs. 77.7%) ( P ＜ 0. 05 ) . The average serum calcium level after surgery decreased significantly compared with that before surgery [ (2.057 ±0.016) mmol/Lw. (2. 347 ± 0. 009 ) mmol/L] (P＜0.01). In the whole group, the incidence of transient and permanent hypoparathyroidism was 16.9% and 1.2%, respectively. The incidence of permanent hypoparathyroidism in the patients undergoing secondary surgery was significantly higher than that in the patients undergoing primary surgery (11.1% vs. 0) ( P ＜ 0. 01 ). The permanent recurrent laryngeal nerve palsy occurred in one case ( 0. 6 % ) . Conclusions TT is a safe procedure with low complication rate under the condition of meticulous dissection with the aid of surgical loupes, and is recommended for use in clinical practice.关键词
甲状腺肿瘤/外科学/甲状腺全切除术/甲状旁腺功能减退/手术后并发症/预防与控制Key words
Thyroid Neoplasms/surg/ Total Thyroidectomy / Hypoparathyroidism / Postoperative Complications/ prev分类
医药卫生引用本文复制引用
刘木元,杨熙鸿,郭海鹏,林建英,陈伟正,彭汉伟..甲状腺全切除术的手术并发症分析[J].中国普通外科杂志,2011,20(11):1171-1174,4.
