Ozlem Nuraydin, Ozdogan Mehmet, Gurer Ahmet, Gomceli Ismail, Aydin Raci
Department of General Surgery, Ataturk Egitim ve Arastirma Hospital, Bilkent, Ankara, Turkey.
Langenbecks Arch Surg. 2006 Jun;391(3):228-30. doi: 10.1007/s00423-006-0048-2. Epub 2006 May 6.
Although routine drainage of the thyroidectomy bed is not an evidenced-based practice, most surgeons still employ routine drainage with an effort to monitor postoperative bleeding. The aim of this study is present our experience on draining and not draining the thyroidectomy bed.
Records of 1,066 patients who underwent thyroid surgery were evaluated retrospectively.
The rates of the re-operations due to life-threatening postoperative hemorrhage and wound infections were higher in the drained group. The average postoperative hospital stay of the drained group was significantly longer than that of the non-drained group.
Routine drainage of the thyroidectomy bed is not effective in decreasing the rate of postoperative complications after thyroid surgery, and it causes a prolonged hospital stay and surgical site infection.
尽管甲状腺切除术后术野常规引流并非基于循证医学的做法，但大多数外科医生仍采用常规引流以监测术后出血情况。本研究旨在介绍我们在甲状腺切除术后术野引流与不引流方面的经验。
回顾性评估1066例接受甲状腺手术患者的记录。
引流组因危及生命的术后出血和伤口感染而再次手术的发生率更高。引流组的平均术后住院时间显著长于未引流组。
甲状腺切除术后术野常规引流对降低甲状腺手术后的术后并发症发生率无效，且会导致住院时间延长和手术部位感染。
