甲状腺切除术的早期和晚期并发症：拉瓦尔品第的一项描述性队列研究

Early and late complications of thyroidectomy: A descriptive cohort study in Rawalpindi.

作者信息

Viqar Sana, Masood Ayesha, Zia Naeem

机构信息

Department of General Surgery, Pakistan Institute of Medical Sciences, Islamabad, Pakistan.

Department of Vascular Surgery, Combined Military Hospital, Rawalpindi, Pakistan.

出版信息

J Pak Med Assoc. 2022 Nov;72(11):2184-2188. doi: 10.47391/JPMA.3975.

DOI:10.47391/JPMA.3975

PMID:37013283

Abstract

OBJECTIVE

To assess the epidemiology of thyroid disorders and early and late complications following thyroidectomy..

METHODS

The descriptive cohort study was conducted at the Benazir Bhutto Hospital, Rawalpindi, Pakistan, from April 2017 to Janurary 2020, and comprised of patients undergoing total and near-total thyroidectomy. Post-operative complications were noted, and patients were followed up after 6 months to assess long-term complications. Data was analysed using SPSS 22.

RESULTS

Of the 75 patients, 70(93.3%) were females and 43(58.1%) were aged <40 years. The most common symptom was neck swelling with hyperthyroidism 20(41.7%) and pressure symptom 20(41.7%). Post-operative complications developed in 26(35.6%) patients, with symptomatic hypocalcaemia being the most common 10(13.7%), followed by hoarseness 6(8.2%). Biopsy results were available for 50(66.6%) patients. Benign pathology was present in 44(88%) patients and 6(12.0%) had malignancy. Follow-up data was available for 62(82.7%) patients among whom symptomatic hypocalcaemia was the leading complication in 33(53.2%), followed by permanent hoarseness in 6(9.7%).

CONCLUSIONS

Symptomatic hypocalcaemia and hoarseness were found to be the most common post-operative and long-term complications of thyroidectomy.

摘要

目的

评估甲状腺疾病的流行病学情况以及甲状腺切除术后的早期和晚期并发症。

方法

2017年4月至2020年1月在巴基斯坦拉瓦尔品第的贝娜齐尔·布托医院进行了描述性队列研究，研究对象为接受全甲状腺切除术和近全甲状腺切除术的患者。记录术后并发症，并在6个月后对患者进行随访以评估长期并发症。使用SPSS 22对数据进行分析。

结果

75例患者中，70例（93.3%）为女性，43例（58.1%）年龄小于40岁。最常见的症状是颈部肿胀，甲亢患者中有20例（41.7%）出现该症状，压迫症状患者中有20例（41.7%）出现该症状。26例（35.6%）患者出现术后并发症，症状性低钙血症最为常见，有10例（13.7%），其次是声音嘶哑，有6例（8.2%）。50例（66.6%）患者有活检结果。44例（88%）患者为良性病理，6例（12.0%）为恶性。62例（82.7%）患者有随访数据，其中症状性低钙血症是33例（53.2%）患者的主要并发症，其次是永久性声音嘶哑，有6例（9.7%）。