Palestini N, Durando R, Modesti M S, Rispoli P
Chir Ital. 1985 Aug;37(4):367-77.
The authors studied the inter- and postoperative complications arising in a series of 690 consecutive interventions on thyroid. The results showed a cipher mortality and a 3% aggregate morbidity. In 0.9% of cases, compressive hematomata in the thyroid loggia, collapse of the tracheal wall due to tracheomalacia or bilateral paralysis of the vocal cords determined an acute respiratory stoppage. 1.4% of the treated patients suffered from alterations in the motility of the vocal cords, ascribable to damage of the recurrent nerves. 0.9% of cases showed a postoperative parathyroid insufficiency, the nature of which, however, was always temporary. The incidence of complications, in the whole, resulted significantly higher in the patients undergoing iterative surgery, in respect of those operated on the first time.
作者研究了连续690例甲状腺手术中的术中和术后并发症。结果显示死亡率为零，总发病率为3%。在0.9%的病例中，甲状腺区域的压迫性血肿、气管软化导致的气管壁塌陷或双侧声带麻痹导致急性呼吸停止。1.4%的接受治疗的患者出现声带运动改变，归因于喉返神经损伤。0.9%的病例出现术后甲状旁腺功能不全，但其性质总是暂时的。总体而言，再次手术患者的并发症发生率明显高于首次手术患者。
