时间会治愈一切。一项关于甲状腺切除疤痕的研究。
Time heals. A study of thyroidectomy scars.
作者信息
de Araujo Filho Vergilius José Furtado, de Araujo-Neto Vergilius José Furtado, de Matos Leandro Luongo
机构信息
Universidade de São Paulo (USP), Faculdade de Medicina (FM), Disciplina de Cirurgia de Cabeça e Pescoço, São Paulo, SP, Brazil.
Universidade de São Paulo (USP), Faculdade de Medicina (FM), Disciplina de Cirurgia de Cabeça e Pescoço, São Paulo, SP, Brazil.
出版信息
Braz J Otorhinolaryngol. 2025 Jul;91 Suppl 1(Suppl 1):101641. doi: 10.1016/j.bjorl.2025.101641. Epub 2025 May 29.
OBJECTIVE
To evaluate the quality of the thyroidectomy scars over a long period of time.
METHODS
Over a period of two years the quality of the thyroidectomy scars among 283 consecutive patients was registered during their follow-up for malignancies. On a scale of 0 (excellent) to 3 (bad) thyroidectomy scars were classified according to the time after surgery.
RESULTS
After 5 years or more 95% of the scars were classified as excellent or very good; 55% of them were excellent, which indicates that the scar was virtually invisible at a distance of 1.5 meters. Only 5% of the cases had a regular or bad scar after 5-years or more, and only one patient (0.5%) had a bad scar.
CONCLUSION
The scars remaining after thyroid surgery had an improved appearance with time, and the vast majority of patients had an excellent or very good scar after a period of five years or more.
LEVEL OF EVIDENCE
Level III.
目的
长期评估甲状腺切除术后瘢痕的质量。
方法
在两年的时间里，对283例连续患者在随访恶性肿瘤期间的甲状腺切除术后瘢痕质量进行记录。根据术后时间，将甲状腺切除术后瘢痕按0（优秀）至3（差）的等级进行分类。
结果
5年或更长时间后，95%的瘢痕被评为优秀或非常好；其中55%为优秀，这表明在1.5米的距离处瘢痕几乎不可见。5年或更长时间后，只有5%的病例有一般或差的瘢痕，只有1例患者（0.5%）有差的瘢痕。
结论
甲状腺手术后留下的瘢痕外观随时间改善，绝大多数患者在5年或更长时间后有优秀或非常好的瘢痕。
证据级别
三级。
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