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[甲状腺手术后的术后并发症。文献综述与个人经验]

[Postoperative complications after thyroid surgery. Review of the literature and personal experience].

作者信息

Picucci L, Persico Stella L, Alibrandi M, Cardillo L, Trombini R, Morano C

机构信息

Divisione di Chirurgia, Ospedale Generale di Zona, Regina Apostolorum Albano Laziale, Roma.

出版信息

Minerva Chir. 1997 Jul-Aug;52(7-8):901-12.

PMID:9411291
Abstract

The authors make a review of the literature on the complications which occur after thyroidectomy. They report, moreover, a study carried out on 192 thyroidectomy performed between January 1992 and May 1995. The surgical technique employed foresees the systematic search for and saving of laryngeal nerves fibers and the parathyroid gland. Results were the incidence of postoperative hypocalcemia and of permanent hypocalcemia. The authors also analyse problems related to laryngeal nerves in matters of thyroid surgery. After a short introduction on surgical anatomy, attention is drawn to the "recurrent nerve risk" but also the superior laryngeal nerve too, often injured with modifications of the vocal tone and serious consequences for particular professional groups.

摘要

作者对甲状腺切除术后发生的并发症相关文献进行了综述。此外,他们报告了一项对1992年1月至1995年5月期间进行的192例甲状腺切除术的研究。所采用的手术技术要求系统地寻找并保留喉神经纤维和甲状旁腺。结果是术后低钙血症和永久性低钙血症的发生率。作者还分析了甲状腺手术中与喉神经相关的问题。在对手术解剖学进行简短介绍后,文中提到了“喉返神经风险”,同时也指出了喉上神经,它常因声带音调改变而受损,对特定职业群体有严重后果。

相似文献

1
[Postoperative complications after thyroid surgery. Review of the literature and personal experience].[甲状腺手术后的术后并发症。文献综述与个人经验]
Minerva Chir. 1997 Jul-Aug;52(7-8):901-12.
2
[Prevention of laryngeal nerve lesions in thyroid surgery].[甲状腺手术中喉返神经损伤的预防]
Minerva Chir. 1994 Apr;49(4):299-302.
3
[The incidence of recurrent laryngeal nerve paralysis following thyroid surgery].[甲状腺手术后喉返神经麻痹的发生率]
Zentralbl Chir. 1989;114(9):577-82.
4
Complications of thyroid surgery.甲状腺手术的并发症。
Chirurgia (Bucur). 2006 Nov-Dec;101(6):571-81.
5
[Identification of the recurrent laryngeal nerve in thyroid gland surgery--a status determination].[甲状腺手术中喉返神经的识别——现状判定]
Chirurg. 1989 Jan;60(1):44-8.
6
[Thyroid surgery: total and partial resection. Analysis of complications and a review of the literature].
Chir Ital. 2004 May-Jun;56(3):371-82.
7
Advantages of recurrent laryngeal nerve identification in thyroidectomy and parathyroidectomy and the importance of preoperative and postoperative laryngoscopic examination in more than 1000 nerves at risk.甲状腺切除术和甲状旁腺切除术中喉返神经识别的优势以及术前和术后喉镜检查对1000多条有风险神经的重要性。
Laryngoscope. 2002 Jan;112(1):124-33. doi: 10.1097/00005537-200201000-00022.
8
[Rate of complications with systematic exposure of the recurrent laryngeal nerve and parathyroid glands in operations for benign thyroid gland diseases].[良性甲状腺疾病手术中喉返神经及甲状旁腺系统性暴露的并发症发生率]
Zentralbl Chir. 1998;123(1):21-4.
9
[Early complications of surgical treatment of benign thyroid disorders].
Ned Tijdschr Geneeskd. 1979 Dec 1;123(48):2052-7.
10
[Complications and sequelae of benign thyroid surgery].[良性甲状腺手术的并发症与后遗症]
J Chir (Paris). 1992 Jan;129(1):41-6.

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