Benoit L, L'Helgouarc'h J L, Goudet P, Cougard P
Service de Chirurgie Viscérale et Urgences, Hôpital Général, Dijon.
Ann Chir. 1999;53(2):123-6.
Double "high vacuum drains" are usually recommended following bilateral thyroidectomy. A single "low vacuum drain" is an attractive alternative when the surgeon considers drainage is necessary. This retrospective study was designed to compare the postoperative outcome following the use of two types of drains. The clinical features, biochemical profile and histopathology were comparable between the two groups: group 1 (high vacuum, n = 77), and group 2 (low vacuum, n = 71). The percentage of total thyroidectomies was significantly higher in group 2 (51% versus 34%, p = 0.04) and this discrepancy was adjusted in the statistical analysis. There was no statistical difference in the outcome of group 1 versus group 2 in terms of wound infections (0% vs 0%), haematoma (0% versus 0.04%), duration and volume of drainage (2.1 versus 2.0 days, 118 versus 117 ml), and hospital stay (3.2 versus 3.2 days). A single "low vacuum drain" is therefore a safe and simple alternative to provide adequate post operative drainage following bilateral thyroidectomy.
双侧甲状腺切除术后通常建议使用双“高负压引流管”。当外科医生认为有必要进行引流时，单根“低负压引流管”是一种有吸引力的替代方案。本回顾性研究旨在比较使用两种引流管后的术后结果。两组（第1组，高负压，n = 77；第2组，低负压，n = 71）的临床特征、生化指标和组织病理学具有可比性。第2组全甲状腺切除术的比例显著更高（51% 对34%，p = 0.04），且在统计分析中对这一差异进行了调整。在伤口感染（0% 对0%）、血肿（0% 对0.04%）、引流持续时间和引流量（2.1天对2.0天，118毫升对117毫升）以及住院时间（3.2天对3.2天）方面，第1组和第2组的结果无统计学差异。因此，单根“低负压引流管”是双侧甲状腺切除术后提供充分术后引流的一种安全且简单的替代方案。
