Herranz-González J, Gavilán J, Matínez-Vidal J, Gavilán C
Department of Otorhinolaryngology, Hospital Juan Canalejo, La Coruña, Spain.
Arch Otolaryngol Head Neck Surg. 1991 May;117(5):516-8. doi: 10.1001/archotol.1991.01870170062014.
The incidence of severe complications following thyroid gland surgery is a major reason to recommend total thyroidectomy or a less radical procedure in treating thyroid gland diseases. A retrospective study on 335 thyroidectomies was performed to assess the incidence of postoperative complications. Rates for hypocalcemia were based on patients undergoing bilateral procedures (n = 185) and on nerves at risk for recurrent laryngeal nerve injury (n = 513). Permanent hypocalcemia (8%) and unilateral laryngeal nerve injury (2.3%) were the major complications, with 0.8% having fatal complications. The achievement of long-term normal serum calcium levels has been the most frequent complication. Recurrent laryngeal nerve injury had a significant relationship with secondary procedures, histologic findings, and no nerve identification during surgery. In our series, major complications can be blamed on technical pitfalls, even in the hands of experienced surgeons.
甲状腺手术严重并发症的发生率是推荐全甲状腺切除术或采用不太激进的手术方法治疗甲状腺疾病的主要原因。对335例甲状腺切除术进行了一项回顾性研究，以评估术后并发症的发生率。低钙血症发生率基于接受双侧手术的患者（n = 185）以及存在喉返神经损伤风险的神经（n = 513）。永久性低钙血症（8%）和单侧喉返神经损伤（2.3%）是主要并发症，0.8%的患者出现致命并发症。实现长期正常血清钙水平是最常见的并发症。喉返神经损伤与二次手术、组织学结果以及手术中未识别神经有显著关系。在我们的系列研究中，即使是经验丰富的外科医生进行手术，主要并发症也可能归咎于技术失误。
