甲状腺疾病再次手术的原因及并发症分析
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李新营

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Analysis of the causes and complications of reoperation for thyroid diseases〖STBZ〗
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    目的:探讨甲状腺再次手术的原因及手术并发症的预防。方法:回顾性分析1990~2001年间甲状腺手术后96例再次手术患者的病例资料。结果:甲状腺癌再次手术者31例,占14.0%(31/221),高于总的甲状腺再次手术率的5.3%(96/1 805)(P<0.01)。96例再次手术者发生各种并发症共14例,占14.6%,高于首次手术者的3.7%(63/1 709)(P<0.01)。两次手术为同一侧者51例,手术并发症为11例,占21.6%,高于两次手术为不同侧者的6.7%(3/45)(P<0.05);两次手术间隔时间对术后并发症发生率无明显影响(P>0.05)。结论:甲状腺再次手术困难较大,并发症发生率较高。因此首次手术时必须谨慎,应尽可能减少再次手术率。对需要再次手术者,应及时手术。再次手术时应小心细致,减少并发症的发生。

    Abstract:

    Objective:To study the causes of thyroid reoperation and the prevention of operative complications. Methods:The clinical data of 96 cases who underwent reoperation of thyroid were retrospctively analysed. Results:There were 31 cases of thyroid carcinoma(14.0%, P<0.05) undergoing reoperation, which was higer than that of total thyoid reoperation. There were 14 cases suffered postoperative complications in this series(14.6%), which was higher than for the patients undergoing primary operationrate(5.3%)(P<0.05). 11 of 51 patients who underwent two operative interventions on the same side thyroid suffered postoperative complications(21.6%), the rate was higher than for patients in whom both operations involved different sides(6.7%)(P<0.05). The interval between the two operations did not affect the rete of postoperative complications(P>0.05). Conclusions:Thyroid reoperation is more difficult than primary operation, and has a higher postoperative complications rate. Thyroid reoperation should be avoided or decreased, so the operator should do the best at the time of the primary operation, and timely reoperation should be performed when necessary. Thyroid reoperation should be performed carefully to decrease complications as much as possible.

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李新营,王志明,吕新生,李劲东,周乐杜,张鸽文.甲状腺疾病再次手术的原因及并发症分析[J].中国普通外科杂志,2005,14(9):2-.
DOI:10.7659/j. issn.1005-6947.2005.09.002

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  • 在线发布日期: 2005-09-25