达卡市三级医院甲状腺肿大患者的临床人口学特征和手术结果

A. Sharif, R. Islam, G. Faruque, Rashida Akter Khanam, Mohammmad Main Uddin, A. Yusuf
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摘要

背景:甲状腺肿胀有不同的临床表现和人口学特征。目的:了解甲状腺肿大患者的临床、人口学特征及手术效果。方法:研究于2017年4月至2018年3月在达卡Mugda医学院医院进行。甲状腺肿胀的诊断基于详细的病史、彻底的临床检查和相关调查、超声检查和细针穿刺细胞学检查(FNAC)。所有患者均接受手术治疗并记录结果。为了对研究结果进行统计和综合分析,对所有数据进行整理和制表。结果:在满足纳入和排除标准后,本研究共招募了45例患者。本研究显示患者年龄从17岁到65岁不等。31至40岁年龄组的病例数最多(35.6%),其次是21至30岁年龄组,占20%。女性(95.6)高于男性(4.4%)。大多数患者(54%)来自社会经济地位较差的家庭。最常见的适应症是结节性甲状腺肿(80%)、乳头状腺瘤(13.3%)、滤泡性腺瘤(4.4%)和髓样腺瘤(2.2%)。在本研究中,大多数表现为甲状腺实性肿块(55.6%)。在本系列中,有68.9%的患者进行了甲状腺切除术,并占据榜首,其次是小计22.2%。本研究中并发症发生率最高的是喉返神经麻痹(8.9%)。结论:青壮年女性患者以甲状腺肿大最为常见,且多为良性结节型甲状腺肿;contemporary and Advance Medical Research; 2019;6(2):97-100
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Clinico-Demographic Characteristics and Surgical Outcomes of Thyroid Swelling Patient Attended at a Tertiary Care Hospital in Dhaka City
Background: Thyroid swelling was found in different clinical presentation and demographic characteristics. Objective: The purpose of the present study was to see the clinical and demographic characteristics as well as the surgical outcomes of thyroid swelling patient. Methodology: The study was conducted at Mugda Medical College Hospital, Dhaka during the period of April 2017 to March 2018. The diagnosis of thyroid swelling was based on detailed history, thorough clinical examination and relevant investigations, Ultrasonogram and fine needle aspiration cytology (FNAC). All the patients were undergone surgical management and the outcomes were recorded. All the data were compiled and tabulated in order o obtained a statistical and comprehensive results of the study. Results: A total number of 45 patients were recruited for this study after fulfilling the inclusion and exclusion criteria. This study shows age of the patients ranged from 17 years to 65 years. The highest number of cases (35.6%) belongs to the age group of 31 to 40 years followed by 20% in the age group of 21 to 30 years. Female were higher in frequency (95.6) than male (4.4%). Most of the patients (54%) were from poor socio-economic status. The most common indication were nodular goiter (80%), papillary 13.3%, follicular adenoma 4.4%, and medullary (2.2%). In this study most of the findings showed solid mass in the thyroid gland (55.6%). In this series hemithyroidectomy carried out in 68.9% patients and occupied the top of the list followed by subtotal 22.2%. In this study highest number of complications were recurrent laryngeal nerve paralysis (8.9%). Conclusion: Young adult female patient is most commonly affected by thyroid swelling and mostly are benign nodular type goiter Journal of Current and Advance Medical Research 2019;6(2):97-100
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