全甲状腺切除术中相关并发症的危险因素分析  

Analysis of Risk Factors for Complications Related to Total Thyroidectomythe

作　　者：周汉军[1] 

机构地区：[1]郧县人民医院胸外科,湖北郧县442500

出　　处：《医学综述》2013年第23期4394-4396,共3页Medical Recapitulate

摘　　要：目的 探讨全甲状腺切除术（TT）中相关并发症的危险因素,提出预防术中并发症的相关措施.方法 选择郧县人民医院2007年10月至2010年3月收治的行TT患者305例,对其一般资料、并发症发生情况及影响因素进行分析.结果 305例患者共出现58例（19.3%）并发症,其中暂时性甲状旁腺功能减退症51例（16.7%）,永久性甲状旁腺功能减退症5例（1.6%）,神经误伤2例（0.7%）,无术后感染及出血情况发生;甲状腺手术史是永久性甲状旁腺功能减退症并发症出现的危险因素（OR＝2.178,95% CI 1.193 ～6.014,P＜0.05）.结论 TT总体并发症水平较低,对于有甲状腺手术史的患者应于术中进行更为精密的操作,或酌情使用部分甲状腺切除术,可将并发症风险降至最低.Objective To explore the total thyroidectomy （TY） intraoperative complications related risk factors, and put forward the prevention measures. Methods During Oct. 2007 and Mar. 2010,305 cases of patients admitted to Yunxian People＇s Hospital were selected, the general data, complications and influencing factors were analyzed. Results Among the 305 patients there were 58 cases（ 19.3% ） with complications, including temporary hypoparathyroidism in 51 cases （ 16.7% ）, permanent hypoparathyroidism in 5 eases （1.6%）, nerve injury in 2 cases （0.7 % ）, no postoperative infection or bleeding occurred;thyroid operation history wase a risk factor of complications（ OR = 2. 178,95% CI 1. 193-6. 014, P 〈 0.05 ）. Conclusion The overall level of TT complications is low, and patients with a history of thyroid operation need a more sophisticated operation, or a discretionary use of partial thyroidectomy, which may minimize the risk of complications.

关 键 词：全甲状腺切除术 并发症 危险因素 

分 类 号：R736.1[医药卫生—肿瘤]