高身体质量指数患者的甲状腺切除术：单中心经验。
Thyroidectomy in high body mass index patients: A single center experience.
机构信息
University of Naples "Federico II", Department of Advanced Biomedical Science, Italy.
University of Naples "Federico II", Department of Advanced Biomedical Science, Italy.
出版信息
Int J Surg. 2016 Apr;28 Suppl 1:S38-41. doi: 10.1016/j.ijsu.2015.12.054. Epub 2015 Dec 18.
BACKGROUND
To identify the correlation between high body mass index (BMI ≥ 25) and the risk of postoperative complications of thyroidectomy.
METHODS
A comparative study between thyroidectomy performed in normal or overweigh-obese patients has been performed. Postoperative outcomes, including hypocalcemia, laryngeal nerve palsy, bleeding, operation time and hospital stay, were evaluated.
RESULTS
A total of 266 patients underwent total thyroidectomy were included. Of them, 104 patients had a BMI below 25 and 162 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 higher operative time in patients with a BMI ≥ 25.
CONCLUSION
Despite the longer operative time, thyroidectomy can be performed safely in patients with a BMI ≥ 25.
背景
确定高体重指数（BMI≥25）与甲状腺切除术术后并发症风险之间的相关性。
方法
对正常体重或超重肥胖患者进行甲状腺切除术的对比研究。评估术后结局，包括低钙血症、喉返神经麻痹、出血、手术时间和住院时间。
结果
共纳入 266 例行甲状腺全切除术的患者。其中 104 例患者 BMI<25，162 例患者 BMI≥25。早期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的发生率无统计学差异。然而，BMI≥25 的患者手术时间更长。
结论
尽管手术时间较长，但 BMI≥25 的患者仍可安全进行甲状腺切除术。
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