Shindo M L, Sinha U K, Rice D H
Department of Otolaryngology-Head and Neck Surgery, University of Southern California, Los Angeles 90033, USA.
Laryngoscope. 1995 Nov;105(11):1173-5. doi: 10.1288/00005537-199511000-00006.
A retrospective review was performed to assess the surgical complications of thyroidectomy performed by otolaryngology residents under close supervision by faculty. One hundred eighty-six consecutive cases of thyroidectomy performed by the residents in the Department of Otolaryngology--Head and Neck Surgery at the University of Southern California were reviewed. Sixty-nine percent of thyroidectomies were performed for malignant or possible malignant diseases, and 31% were performed for benign conditions. Transient (less than 2 weeks in duration) hypocalcemia occurred in 26% of the patients; the vast majority of cases resolved within the first week. Five percent of the patients developed persistent hypocalcemia requiring prolonged replacement therapy. The incidence of unexpected postoperative permanent vocal cord paralysis was 0.9%. These complication rates are comparable to those in previously published large series on results of thyroidectomy. Thyroidectomy performed in an otolaryngology residency training program is a safe procedure when closely supervised by experienced faculty.
进行了一项回顾性研究，以评估在教员密切监督下由耳鼻喉科住院医师实施的甲状腺切除术的手术并发症。回顾了南加州大学耳鼻喉科-头颈外科住院医师连续进行的186例甲状腺切除术。69%的甲状腺切除术是针对恶性或可能为恶性的疾病进行的，31%是针对良性疾病进行的。26%的患者出现短暂性（持续时间少于2周）低钙血症；绝大多数病例在第一周内得到缓解。5%的患者出现持续性低钙血症，需要长期替代治疗。意外术后永久性声带麻痹的发生率为0.9%。这些并发症发生率与之前发表的关于甲状腺切除术结果的大型系列研究中的发生率相当。在耳鼻喉科住院医师培训项目中进行的甲状腺切除术，在经验丰富的教员密切监督下是一种安全的手术。
