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Register a new userSurgical Treatment of Hyperthyroidism
المعالجة الجراحية لفرط نشاط الدرق
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Damascus University ورقة بحثية
Publication date
2009
fields
Medicine
and research's language is
العربية
Authors
حمود نصر( باحث )
Created by
Shamra Editor
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يهدف هذا العمل إلى تقدير حجم مشكلة فرط نشاط الدرق في السنوات الثماني الأخيرة 2009-2001 ، و إلقاء الضوء على كيفية مقاربتها و تدبيرها جراحياً؛ لتقييم واقع هذا الداء في بلدنا.
Investigating the surgical approach to hyperthyroidism and evaluating the currently-used treatment modalities and the results of treatment during eight years between 2001 and 2009.
Artificial intelligence review:
Research summary
تهدف هذه الدراسة إلى تقييم العلاج الجراحي لفرط نشاط الغدة الدرقية خلال الفترة من 2001 إلى 2009 في مستشفى الأسد الجامعي بدمشق. شملت الدراسة 108 مرضى خضعوا لجراحة الغدة الدرقية، وتم تحليل ملفاتهم الطبية لتحديد خصائص المرضى وأسباب فرط النشاط الدرقى والوسائل التشخيصية المستخدمة ونوع العلاج ونتائجه. أظهرت النتائج أن داء غريفز كان السبب الأكثر شيوعًا لفرط نشاط الدرق، وأن استئصال الغدة الدرقية الكامل أو شبه الكامل كان العلاج الأكثر فعالية. لم تُلاحظ أي حالات نكس، وكانت المضاعفات طفيفة وعابرة مثل بحة الصوت وقصور جارات الدرق. خلصت الدراسة إلى أن الجراحة تُعد وسيلة فعالة للسيطرة على فرط نشاط الدرق إذا أُجريت بشكل دقيق ومدروس، مما يقلل من نسبة النكس والمضاعفات.
Critical review
دراسة نقدية: تعتبر هذه الدراسة هامة في مجال تقييم العلاج الجراحي لفرط نشاط الغدة الدرقية، إلا أن هناك بعض النقاط التي يمكن تحسينها. أولاً، لم تتناول الدراسة بشكل كافٍ مقارنة بين العلاج الجراحي والعلاجات الأخرى مثل العلاج باليود المشع أو العلاج الدوائي. ثانياً، مدة المتابعة كانت قصيرة نسبياً (سنتين)، مما قد لا يعطي صورة كاملة عن نسبة النكس على المدى الطويل. ثالثاً، كان من المفيد تضمين تحليل تكاليف العلاج الجراحي مقارنة بالعلاجات الأخرى لتقديم رؤية شاملة للأطباء والمرضى. وأخيراً، كان من الممكن تحسين الدراسة بإضافة مجموعة مقارنة من مرضى لم يخضعوا للجراحة لتقييم الفعالية بشكل أفضل.
Questions related to the research
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ما هو السبب الأكثر شيوعًا لفرط نشاط الدرق في هذه الدراسة؟
السبب الأكثر شيوعًا لفرط نشاط الدرق في هذه الدراسة هو داء غريفز.
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ما هي نسبة حدوث المضاعفات الجراحية مثل بحة الصوت وقصور جارات الدرق؟
كانت نسبة حدوث المضاعفات الجراحية مثل بحة الصوت 3% وقصور جارات الدرق العابر 9.2%.
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ما هي مدة المتابعة التي أُجريت في هذه الدراسة؟
مدة المتابعة التي أُجريت في هذه الدراسة كانت سنتين.
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ما هي الفائدة الرئيسية للجراحة في علاج فرط نشاط الدرق وفقاً لهذه الدراسة؟
الفائدة الرئيسية للجراحة في علاج فرط نشاط الدرق وفقاً لهذه الدراسة هي السيطرة الفعالة على المرض وتقليل نسبة النكس والمضاعفات.
References used
Younes, N., Robinson, B., Delbridge, L.: The aetiology, investigation and management of surgical disorders of the thyroid gland. Aust. N.Z. J. Surg. 66:481, 1996
Gough, I.R.: Total thyroidectomy: indications technique and training. Aust. N.Z. J. Surg. 62:87, 1992
Miccoli, P., Vitti, P., Rago, T., Iacconi, P., Bartalena, L., Bogazzi, F., Fiore, E., Valeriano, R., Chiovato, L., Rocchi, R., Pinchera, A.: Surgical treatment of Graves’ disease: subtotal or total thyroidectomy? Surgery 120:1020, 1996
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Sample of 60 evaluable patients were included in a prospective study with
Superficial Veins Thrombosis(SVT)on ground of varicose vein lower extremities. the
study achieved at AL-Assad hospital (Latakia) in the period between January 2005 to
Decemb
er 2011. Criteria of inclusion were incompetence (by Duplex investigation ), a
tender indurated cord a long superficial vein, and indurated and heat in the affected area.
Exclusion criteria were obesity, cardiovascular or neoplastic diseases, non-ambulatory
status, SVT without varicose vein. 60 patients ( 41 females, 19 males) included in the
study, 61.6% were between(31–50) years, left lower limb was affected in 48,3 %, Right
40%, and in 11,7 the both, The GSV was affected alone in all cases. Primary surgical
choice was decided almost in all patients, secondary was in 4patients after 1-4 weeks of
medical treatment. The extension level in the GSV determined by color duplex ultrasound
was similar to surgical findings, and above clinical extension level in (5-14) cm. All
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difficulties. Short term results were good, no(DVT, PE, acute cardiac ischemia, death ),
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necrosis1.7%, lymphatic discharge3.3%) show no difference to un complicated varicose
surgery.
Conclusion: Primary surgical approach can be used with thrombosis of GSV above
knee in varicose patients safely and effectively , color duplex ultrasound scans is
recommended to determine extension of SVT.
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of the jaws.
This lesion is commonly found in the maxilla and mandible , and can
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extension into adjacent tissues a
nd rapid growth.
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Treatments are generally classified as conservative or aggressive.
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