高 BMI 患者的甲状腺切除术：安全的手术吗？
Thyroidectomy in patients with a high BMI: a safe surgery?
机构信息
Département De Chirurgie Viscérale et EndocrinienneDépartement D'EndocrinologieCentre Hospitalo-Universitaire, Angers, France
Département De Chirurgie Viscérale et EndocrinienneDépartement D'EndocrinologieCentre Hospitalo-Universitaire, Angers, France.
出版信息
Eur J Endocrinol. 2014 Jul;171(1):99-105. doi: 10.1530/EJE-14-0063.
OBJECTIVE
To study and compare the specific postoperative complications of thyroidectomy in a population with a BMI ≥25 with a population having a BMI below 25.
DESIGN
A prospective study was carried out from September 2010 to January 2013.
METHODS
Postoperative calcemia, laryngeal mobility, bleeding or infectious complications, postoperative hospital stay, and operation time were studied and compared statistically by a χ(2)-test or Student's t-test.
RESULTS
A total of 240 patients underwent total thyroidectomy and 126 underwent a partial thyroidectomy. Of them, 168 patients had a BMI below 25 and 198 patients had a BMI ≥25. There was no statistically significant difference in the occurrence of early or permanent hypoparathyroidism, recurrent laryngeal nerve palsy, bleeding complications, or postoperative duration of hospital stay. There was, however, a significant operative time in patients with a BMI ≥25.
CONCLUSION
Despite the longer operative time, thyroidectomy (total or partial) can be performed safely in patients with a BMI ≥25.
目的
研究并比较体质量指数（BMI）≥25 的人群与 BMI＜25 的人群行甲状腺切除术的具体术后并发症。
设计
前瞻性研究，时间为 2010 年 9 月至 2013 年 1 月。
方法
通过 χ(2)-检验或 Student's t-检验对术后血钙、喉返神经运动、出血或感染并发症、术后住院时间和手术时间进行研究和比较。
结果
共有 240 例行甲状腺全切除术，126 例行甲状腺部分切除术。其中 168 例 BMI＜25，198 例 BMI≥25。早发性或永久性甲状旁腺功能减退症、喉返神经麻痹、出血并发症或术后住院时间无统计学差异。然而，BMI≥25 的患者手术时间明显较长。
结论
尽管手术时间较长，但 BMI≥25 的患者行甲状腺切除术（全切除或部分切除）是安全的。
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