摘要
目的:探讨甲状腺手术术后并发症的预防方法,着重讨论喉返神经及甲状旁腺的防护。方法:对356例甲状腺疾病患者进行甲 状腺手术,且对术后并发症进行观察。结果:声音嘶哑5例,发生率1. 4%;低钙血症4例,发生率为1. 12%;术后出血、呼吸困难、呛咳 及声音低沉各1例,发生率均为0. 28%;皮瓣下积液2例,发生率为0. 56%。结论:预防甲状腺手术并发症,关键在于熟悉其解剖并有 正确的操作技巧,从而使手术并发症降至最低。
Objective: To discuss preventive methods for complications after thyroidectomy,especially how to preserve recurrent laryngeal nerve and parathyroid gland. Methods: The study summarized 356 patients after thyroidectomy, and observed the postoperative complications. Results: Hoarseness was found in 5 cases(1.4%);hypocalcemia was 4 cases(1.2%);Postoperative bleeding,dyspnea,cough and lowering sound 1 case each,rate of occurring was 0. 28% each;subcutaneous edema was 2 cases(0. 56%). Conclusion: The most important point is familiar with the operation skill of dissection to prevent the postoperative complications after thyroidectomy,so that make the thyroidectomy be the most safe.
出处
《中国临床医学》
北大核心
2005年第5期809-810,共2页
Chinese Journal of Clinical Medicine