良性甲状腺疾病术后是否放置引流的探讨  

To drain or not in thyroid surgery for benign thyroid disease: A controlled clinical study

作　　者：陈笑[1] 陈志雨[1] 梁存河[1] 郁正亚[1] 

机构地区：[1]首都医科大学附属北京同仁医院普外科,北京100730

出　　处：《中国医刊》2011年第2期44-45,共2页Chinese Journal of Medicine

摘　　要：目的探讨良性甲状腺疾病不放置引流的可行性和放置引流的适应证。方法 2009年8月至2010年8月收治的甲状腺良性疾病病人228例,分为未引流组和引流组,进行回顾性分析和观察。结果引流组平均住院日[(8.25±1.58)天]高于未引流组[(6.92±1.54)天]且有统计学差异。未引流组手术后发生血清肿4例,血清肿发生率2.16%,经穿刺抽液后即缓解。未引流组病人术后第1、2天平均体温[(37.15±0.34)℃,(36.86±0.32)℃]均高于引流组[(36.88±0.25)℃,(36.69±0.14)℃]且有统计学差异。结论甲状腺手术后引流的放置应该个体化,对没有指征的病人不应该常规放置引流。Objective To assess the possibility of thyroid surgery without drains for benign thyroid disease and the pos- sible indication for drainage. Methods 228 cases suffered from benign thyroid disease from August 2009 to August 2010 were divided into drainage group and non-drainage group and were retrospectively reviewed. Results The average hospital stay in drainage group （8.25 ±1.58 days） was longer than in non-drainage group （6.92 ±1.54 days） and there was significant difference . 4 patients suffered from seroma in non-drainage group, the incidence was 2.16%, and relieved immediately by needle aspiration. The average body temperatures on the first day and second day after operation in non-drainage group [ （ 37. 15 ± 0. 34 ） ℃, （ 36. 86 ± 0. 32 ） ℃ ] were higher than in drainage group [ （ 36.88 ± 0.25 ） ℃, （ 36.69 ±0.14 ） ℃ ] and there were significant difference. Conclusions Drainage of thyroid bed following thyroid surgery should be individualized. Routine drainage without indication should be avoided.

关 键 词：甲状腺手术 引流 住院日 

分 类 号：R581[医药卫生—内分泌]