甲状腺手术后并发症的评估

S. Das, Pranay Kumar Datta
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背景:不同的诊断工具可用于评估甲状腺手术后的结果。本研究旨在达成共识,寻找评估甲状腺手术术后并发症的最佳诊断工具。材料与方法:横断面研究于2016年7月至2017年6月在医学中心医院进行。本研究共纳入50例患者,对患者术后并发症进行评估、研究和入组。目的:评价甲状腺手术患者的术后预后。使用SPSS version 20对数据进行定性和定量分析。定量资料采用均数、标准差进行分析。定性资料采用Mc NEMAR检验(Mc NEMAR χ2检验)。所有分析检验的显著性水平设为0.05,p值等于或小于0.05为显著,p值大于0.05为不显著。结果:选择50例行甲状腺切除术的患者作为研究对象。患者手术时的平均年龄为40.9±9.1岁,年龄范围从10岁到60岁。在规定的数据收集表中收集数据。然后对所有数据进行整理和分析。结果:14%的患者出现并发症,其中短暂性甲状旁腺功能低下占2%,出血占4%,暂时性喉返神经麻痹占2%,永久性喉返神经麻痹占2%,喉上神经麻痹占2%,伤口感染占2%。手术技术的改进和并发症的合理处理降低了甲状腺手术的术后发病率和死亡率。结论:甲状腺手术后可能出现不同类型的并发症。尽管采取了各种措施,但术后的敏锐观察对于发现并发症进行早期干预是非常重要的。Jcmcta 2021;32 (1): 44-47
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Assessment of Complications following Thyroid Surgery
Background : Different diagnostic tools are available for assessment of post operative outcomes of thyroid surgery. This study was done to reach a consensus and to find out the best diagnostic tool for assessment of post operative complications of thyroid surgery. Materials and methods : A cross sectional study was carried out in the Medical Centre Hospital Between July 2016 to June 2017. Total 50 patients were included in the study, where post operative complications of patients were assessed, studied and enrolled. To assess the post operative outcomes of patients undergoing thyroid surgery. Data were analyzed and presented as both qualitative and quantitative data as applicable using SPSS version 20. The quantitative data were analyzed by mean, standard deviation. The qualitative data were analyzed by Mc NEMAR test (Mc NEMAR χ2 test). For all analytical test, the level of significance was set at 0.05 and p value equal or less then 0.05 was considered as significant, p value more than 0.05 was considered as not significant. Results : Fifty patients were selected for the study who were treated by Thyroidectomy. The mean patient's age at the time of surgery was 40.9±9.1 years ranged from 10 to 60 years. Data were collected in a prescribed data collection sheet. Then all data were compiled and analyzed. Result: 14% of the patients had complications, of them 2% had transient hypoparathyroidism, 4% had haemorrhage, 2% had temporary Recurrent Laryngeal Nerve (RLN) palsy and 2% had permanent recurrent laryngeal nerve palsy, 2% had Superior Laryngeal Nerve (SLN) palsy & 2% had wound infection. Improved surgical techniques and proper management of complications reduce the postoperative morbidity and mortality of thyroid surgery. Conclusions: Different types of complications may occur following thyroid surgery. In spite of all measures, keen observation in postoperative period is very important to find out the complications for early intervention. JCMCTA 2021 ; 32 (1) : 44-47
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