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Register a new userEarly Complications of Thyroidectomy
دراسة المضاعفات القريبة لجراحة الغدة الدرقية
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Added by
Tishreen University ورقة بحثية
Publication date
2015
fields
Medicine
and research's language is
العربية
Created by
Shamra Editor
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أجريت الدراسة على (73) مريضا أجري لهم عمل جراحي على الدرق في مشفى الأسد الجامعي في اللاذقية بين عامي 2012_ 2014 . حيث قسمت الدراسة إلى: استرجاعية (32 مريضاً ) دراسة استقبالية ( 41 مريضاً ) و خضع (11) مريضا منهم لعمل جراحي ثان بسبب وجود خباثة بنسبة (16,66%) . كان الاستئصال التام في الجهتين هو التداخل الأكثر شيوعا" بنسبة (57.14%) يليه استئصال فص تام مع برزخ (28.79 %) . نسبة المضاعفات القريبة الكلية (11.9%) و قد كان التكزز هو المضاعفة الأكثر تكرارا من المضاعفات بنسبة (3,57%) يليه إصابة العصب الحنجري الراجع و الحنجري العلوي و النزف بنسبة (2,38 %) لكل منها. حصلت النسبة الأعلى من المضاعفات في العمليات البدئية في عمليات الاستئصال التام البدئي يليه استئصال تام بجهة. جراحة الدرق الناكسة تحمل خطورة مضاعفات أكثر من المداخلات البدئية .
The Research has been made on (73) patients for whom a surgical operation was made on the thyroid in Al-Assad University Hospital in Lattakia in 2000-2007. The study was divided into: retrospective (32patients), prospective (41patients) and (11) patients of were subjected to second operation due to existence of a malignant cancer with a percentage of (16,66%) . The Total Thyroidectomy on both side was the most spread intervention with a percentage of (57,14%) and next to it was the thyroid lobectomy with a percentage of (28,79%). The percentage of Total Early complication is (11,9%) and the Tetania was the most repeated complication with a percentage of (3,57%) and next to it was the Recurrent laryngeal nerve ,the Superior laryngeal nerve and the bleeding with a percentage of (2,38%)for each . The higher percentage of complication has occurred in the starting operation of the Total Thyroidectomy and next to it the Thyroid lobectomy . The surgery of the Relapsed Thyroid is subject to more dangerous complications from the starting intervention .
References used
BRUNICARD,C;ANDERSON,D;BILLIAR,T;DUNN,D;HUNTER,J;POLLOCK, R.SCHWARTZ 'S principles of surgery . 11th edition,5112
GIOVANI , S ; D'ALIA , C ; TONANTE ,A;GALIANO, E; TARANTO,F; LOSCHIVO,M,G. The recurrent laryngeal nerve related to thyroid surgery. The American journal of surgery .Italy , 1999, p:485-488
GONZALEZ . J.H ; LAURIDO , D. Hypocalcemia after total thyroidectomy: Incidence , control and treatment . Spai .2013, p:102-107
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