Endocrine Surgery Unit, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114, USA.
Am J Surg. 2010 Apr;199(4):485-90. doi: 10.1016/j.amjsurg.2009.04.006.
Drains are widely used in lateral neck dissections (LNDs). Our objective was to compare outcomes of LNDs for papillary thyroid cancer (PTC) with and without drains.
One hundred sixty-five LNDs in 129 patients operated on from July 2001 to October 2008 were analyzed retrospectively. LNDs were divided according to the number of excised lymph nodes as follows: group A < median and group B > median. Further categorization was based on the use of a drain. Main outcome measures were wound complications requiring intervention.
One hundred two LNDs were performed with a drain and 63 without. The overall rate of wound complications was 3%. There was no significant difference in complication rate between the drain and the non-drain group (group A: 1.8% vs 0; group B: 2.2% vs 7.9%, respectively).
Significant seromas/hematomas are rare complications of LNDs. Patients who undergo LND for PTC without a drain show no significantly increased rate of these complications.
引流管广泛应用于颈侧区清扫术（LND）中。我们的目的是比较有引流和无引流的 LND 治疗甲状腺乳头状癌（PTC）的结果。
回顾性分析了 2001 年 7 月至 2008 年 10 月期间 129 例患者的 165 例 LND。根据切除的淋巴结数量将 LND 分为 A 组（<中位数）和 B 组（>中位数）。进一步根据引流管的使用进行分类。主要观察指标为需要干预的伤口并发症。
102 例 LND 使用引流管，63 例未使用。总的伤口并发症发生率为 3%。引流组和非引流组的并发症发生率无显著差异（A 组：1.8%比 0；B 组：2.2%比 7.9%）。
明显的血清肿/血肿是 LND 的罕见并发症。行 LND 治疗 PTC 且未放置引流管的患者并发症发生率无显著增加。
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