[1]贺　亮,程维刚.甲状腺再次手术特点及并发症分析[J].新乡医学院学报,2016,33(1):055-57.[doi:10.7683/xxyxyxb.2016.01.016]
　HE Liang,CHENG Wei-gang.Analysis of clinical characteristics of reoperation for thyroid disease and its complications[J].Journal of Xinxiang Medical University,2016,33(1):055-57.[doi:10.7683/xxyxyxb.2016.01.016]
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甲状腺再次手术特点及并发症分析
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《新乡医学院学报》[ISSN:1004-7239/CN:41-1186/R]

卷:
33
期数:
2016年1
页码:
055-57
栏目:
临床研究
出版日期:
2016-01-05

文章信息/Info

Title:
Analysis of clinical characteristics of reoperation for thyroid disease and its complications
作者:
贺　亮; 程维刚
（郑州大学附属洛阳中心医院普外三科，河南　洛阳　471000）
Author(s):
HE Liang; CHENG Wei-gang
(The Third Department of General Surgery，Luoyang Central Hospital Affiliated to Zhengzhou University，Luoyang 471000，Henan Province，China)
关键词:
甲状腺; 再次手术; 并发症
Keywords:
thyroid; reoperation; complication
分类号:
R581
DOI:
10.7683/xxyxyxb.2016.01.016
文献标志码:
A
摘要:
目的　探讨甲状腺再次手术的特点及并发症的预防。方法　收集2010年1月至2015年3月郑州大学附属洛阳中心医院普外三科收治的67例甲状腺再次手术患者（观察组）的临床资料，与同期70例初次手术患者（对照组）的临床资料进行对比分析。结果　观察组患者手术时间为（105.2±14.7) min，术中出血量为（45.6±9.8)mL；对照组患者手术时间为（76.5±12.2)min，术中出血量为（20.3±8.5)mL；观察组患者手术时间和术中出血量均显著高于对照组（P<0.01）。观察组患者术后发生并发症14例（20.90%)，对照组患者术后发生并发症3例（4.29%），观察组患者术后并发症发生率显著高于对照组（P<0.01）。再次手术距首次手术时间间隔与再次手术的术后并发症无相关性（r=0.126，P>0.05）。结论　甲状腺再次手术难度较大，并发症较多，应尽可能规范初次手术方式，减少再次手术机会。
Abstract:
Objective　To analysis the clinical characteristics of reoperation for thyroid disease and the prevention of complications.Methods　Data of 67 patients with thyroid reoperation(observation groups) and 70 patients with first operation(control group) in Luoyang Central Hospital Affiliated to Zhengzhou University from January 2010 to March 2015 were analyzed.Results　Operation time and amount of bleeding of observation group was（105.2±14.7）min and（45.6±9.8）mL,which were (76.5±12.2)min and （20.3±8.5）mL in control group.There was no significant difference in operation time and amount of bleeding during the operation between the two groups(P>0.05).There were 14 cases （20.90%）with complication in the observation group，and 3 cases （4.29%）with complication in the control group,the incidence of complication in the observation group was significantly higher than that in the control group（P<0.05）.And there was no relationship between reoperation interval and postoperative complications(r=0.126，P>0.05).Conclusion　Thyroid reoperation has high rates of complications and more difficult，so the scope of the first operation should be standardized in order to reduce the rate of reoperation.

参考文献/References:

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更新日期/Last Update: 2016-01-05