甲状腺良性疾病再手术的并发症分析  

Reoperative complications in patients with benign thyroid disease

作　　者：王孟春[1] 李军[1] 薛洪千[1] 黄杰[1] 张杰峰[1] 

机构地区：[1]潍坊医学院附属潍坊市人民医院普外科,261041

出　　处：《中华普通外科杂志》2005年第4期238-239,共2页Chinese Journal of General Surgery

摘　　要：目的　探讨甲状腺良性疾病再手术术后并发症的防治。方法　1992年6月至2 0 0 3年6月,我院共收治6 5例甲状腺良性疾病再手术患者,分别对6 5例患者手术方式、病理及术后并发症进行分析。结果　6 5例患者中首次手术行单侧腺叶手术2 7例(41 5 % ) ,双侧腺叶手术38例(5 8 5 % ) ,再手术后发现甲状腺癌8例(12 3% ) ,8例(12 3% )出现术后并发症,其中永久性并发症1例(1 5 % )。结论　甲状腺再手术并发症高于首次手术,但永久性并发症低于2 % 。Objective To evaluate the complication rate of secondary surgery in patients with benign thyroid disease. Methods From June 1992 to June 2003, 65 patients underwent reoperation. Operative procedures. pathology and complications were reviewed. Results The first surgery was unilateral in 27 cases (41.5%), bilateral in 38 (58.5%). Reoperation identified carcinoma in 8 cases with complications developed in 8 cases and left over permanent in 1 case (1.5%). Conclusion The complication rate of second operation is higher than that of first thyroid surgery, but still acceptable.

关 键 词：甲状腺良性疾病 再手术 并发症分析 术后并发症 2003年6月 首次手术 1992年 手术并发症 手术患者 手术方式 甲状腺癌 术后发现 永久性 腺叶 

分 类 号：R653[医药卫生—外科学]