儿童甲状腺切除术
Thyroidectomy in children.
作者信息
Hojaij Flávio Carneiro, Cervantes Onivaldo, Zulino Cindel Nogueira, Pereira Leonardo Dantas, Vanderlei Felipe Augusto Brasileiro, Abrahao Marcio
机构信息
Faculdade de Medicina da Universidade de São Paulo (FMUSP), LIM 02, São Paulo, SP, Brazil.
Universidade Federal de São Paulo (UNIFESP), Departamento de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço, São Paulo, SP, Brazil.
出版信息
Braz J Otorhinolaryngol. 2025 Jul;91 Suppl 1(Suppl 1):101642. doi: 10.1016/j.bjorl.2025.101642. Epub 2025 May 24.
OBJECTIVE
Analysis of the surgical approach and postoperative outcomes of 59 pediatric patients submitted to thyroidectomy between 2003 and 2019.
METHODS
An outpatient postoperative follow-up of 59 patients aged 3-18 years submitted to thyroidectomy for different causes was performed, and immediate and late postoperative outcomes were analyzed. The operations were performed at a University Hospital as well as at Private Tertiary Hospitals.
RESULTS
The following postoperative outcomes were observed: three tracheostomies, 22 patients with transient hypoparathyroidism, eight patients with definitive hypoparathyroidism, and three patients with vocal fold paralysis.
CONCLUSION
Thyroidectomy in children is a procedure with a higher complication rate and needs to be performed by a team of high-volume surgeons. This study focuses on the adverse events, so that those interested in the subject are aware of them.
LEVEL OF EVIDENCE
Level III.
目的
分析2003年至2019年间59例接受甲状腺切除术的儿科患者的手术方式及术后结果。
方法
对59例年龄在3至18岁因不同原因接受甲状腺切除术的患者进行门诊术后随访，并分析术后近期和远期结果。手术在一家大学医院和私立三级医院进行。
结果
观察到以下术后结果：3例行气管切开术，22例出现暂时性甲状旁腺功能减退，8例出现永久性甲状旁腺功能减退，3例出现声带麻痹。
结论
儿童甲状腺切除术是一种并发症发生率较高的手术，需要由经验丰富的外科医生团队进行。本研究关注不良事件，以便对该主题感兴趣的人有所了解。
证据级别
三级。
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