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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。

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