4912例甲状腺病手术并发症分析  

Analysis of 4912 cases of thyropathy operation complication.

作　　者：孙明举[1] 麻滨瑞[1] 蒋冬平[1] 唐建军[1] 许克[1] 廖轶铭[1] 许笑彬[1] 冯中华[1] 王立清[2] 陈宁[2] 

机构地区：[1]解放军313医院海军甲状腺病诊治中心,葫芦岛1250002 [2]建昌县人民医院,125300

出　　处：《中国实用外科杂志》2002年第6期359-361,共3页Chinese Journal of Practical Surgery

摘　　要：目的　探讨甲状腺手术并发症与原发病、手术方式之间关系。方法　通过对 196 9～ 1998年间手术治疗 5 4 6 0例甲状腺病的回顾 ,并就获得完整资料的 4 912例进行综合分析。结果　 4 912例中共发生 8种并发症计 2 6 4例 ,占5 4 %。其中切口感染、复发、甲状腺危象与原发病有关。术后出血、死亡与合并症有关。喉返神经、甲状旁腺损伤与手术方式有关。甲状腺功能低下与原发病及手术方式有关。结论　提高术者素质是杜绝或减少并发症的关键。Objective To discuss the relationship among thyropathy operation complication, primary affection and operative ways. Methods We reviewed surgical treatment of 5460 cases of thyropathy that were treated in 1969～1998,and made comprehensive analysis of 4912 cases with complete data.Results There were 8 kinds of complications occurred in 264 cases(5 4%) altogether. Infection of incisional wound,recurrence and thyroid crisis were related to primary affection;post-operative bleeding and death were related to hoist concomitant symptom; and injury to nerves laryngeal recurrence and parathyroid was related to operative ways;and hypothyroidism was related to primary affection and operative ways.Conclusion It is the key point to improve the quality of operators in eliminating and decreasing complications

关 键 词：甲状腺疾病 外科手术 并发症 病例分析 手术方式 

分 类 号：R653[医药卫生—外科学]