Pagliaro Salvatore, Rossi Leonardo, Meligeni Michela, Catani Letizia, Morganti Riccardo, Materazzi Gabriele, Bakkar Sohail, Montanino Antonia, Pagliaro Danilo, Scateni Monica, Pagnucci Nicola
University Hospital of Pisa, Pisa, Italy.
Medical, Molecular, and Critical Area Pathology, Department of Surgery, University of Pisa, Pisa, Italy.
Perioper Med (Lond). 2024 Jul 15;13(1):74. doi: 10.1186/s13741-024-00428-1.
Thyroid diseases are one of the most common health problems worldwide. Although they represent a necessary step in order to perform thyroidectomy, hyperextension of the neck can potentially increase postoperative pain. The aim of this study is to determine a correlation between the degree of neck hyperextension on the operative table and the postoperative pain in patients undergoing open thyroidectomy.
Patients were prospectively enrolled from the cohort of patients operated at the Endocrine Surgery Unit of the University Hospital of Pisa, between May and July 2021. Both of patients who underwent total thyroidectomy or hemi-thyroidectomy were recruited. The following data were analysed in order to find a correlation with postoperative pain at 24 h: age, gender, type of surgery, BMI, operative time, and degree of neck extension.
Overall, 195 patients were enrolled. A direct, statistically significant correlation emerged between the degree of neck hyperextension and the postoperative pain 24 h after surgery, regardless of the pain of the surgical wound (p < 0.001; beta 0.270).
A direct correlation emerges between neck tilt angle and postoperative neck pain. Moreover, total thyroidectomy (TT) predisposes more to postoperative neck pain, considering the type of surgery.
甲状腺疾病是全球最常见的健康问题之一。虽然颈部过伸是进行甲状腺切除术的必要步骤，但它可能会增加术后疼痛。本研究的目的是确定手术台上颈部过伸程度与接受开放性甲状腺切除术患者术后疼痛之间的相关性。
前瞻性纳入2021年5月至7月在比萨大学医院内分泌外科接受手术的患者队列。纳入接受全甲状腺切除术或半甲状腺切除术的患者。分析以下数据以寻找与术后24小时疼痛的相关性：年龄、性别、手术类型、体重指数、手术时间和颈部伸展程度。
总体而言，共纳入195例患者。无论手术伤口疼痛如何，颈部过伸程度与术后24小时疼痛之间存在直接的、统计学上显著的相关性（p < 0.001；β 0.270）。
颈部倾斜角度与术后颈部疼痛之间存在直接相关性。此外，考虑到手术类型，全甲状腺切除术（TT）更容易导致术后颈部疼痛。
