甲状腺手术：引流与否，这是个问题——一项随机临床试验
Thyroid Surgery: To Drain or Not to Drain, That Is the Problem - A Randomized Clinical Trial.
作者信息
Schietroma Mario, Pessia Beatrice, Bianchi Zuleyka, De Vita Fabiola, Carlei Francesco, Guadagni Stefano, Amicucci Gianfranco, Clementi Marco
机构信息
Department of Surgery, University of L'Aquila, L'Aquila, Italy.
出版信息
ORL J Otorhinolaryngol Relat Spec. 2017;79(4):202-211. doi: 10.1159/000464137. Epub 2017 Jul 15.
PURPOSE
We conducted a prospective, randomized study to evaluate the necessity of drainage after thyroid surgery.
METHODS
The patients (n = 215) were randomly assigned to be treated with suction drains (group 1; n = 108) or not (group 2; n = 107).
RESULTS
The postoperative pain scores were significantly lower in the non-drained group than in the drained group of patients at postoperative days 0 and at 1. Hematomas, seromas, wound infections, transient biochemical hypoparathyroidism, and transient damage of the recurrent laryngeal nerve occurred more frequently in the drained group than in the non-drained group. The mean hospital stay was significantly shorter in the non-drained group than in the drained group.
CONCLUSIONS
Routine drain emplacement after thyroidectomy is unnecessary.
目的
我们进行了一项前瞻性随机研究，以评估甲状腺手术后引流的必要性。
方法
将215例患者随机分为两组，一组使用引流管（第1组，108例），另一组不使用引流管（第2组，107例）。
结果
术后第0天和第1天，未放置引流管组患者的术后疼痛评分显著低于放置引流管组。放置引流管组血肿、血清肿、伤口感染、短暂性生化性甲状旁腺功能减退和喉返神经短暂性损伤的发生率高于未放置引流管组。未放置引流管组的平均住院时间显著短于放置引流管组。
结论
甲状腺切除术后常规放置引流管没有必要。
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