Evaluation of Hematoma Formation after Thyroidectomy Surgery and Its Related Factors.

IF 0.9 Q3 SURGERY

World Journal of Plastic Surgery Pub Date : 2024-01-01 DOI:10.61186/wjps.13.1.37

Mohammad Hossein Sarmast Shoushtari, Shaghayegh Sherafatmand, Ayat Rostami, Armin Mohammadi, Behrouz Shayesteh, Farbod Farhadi

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引用次数: 0

Abstract

Background: In the last decade, the number of patients undergoing thyroidectomy has increased. Compared to other methods, thyroidectomy is a relatively safe method for treating various types of thyroid diseases. However, the blood flow rate in the thyroid gland is high, and hematoma after thyroidectomy is one of its complications. We aimed to evaluate hematoma after thyroidectomy and its related factors.

Methods: In this retrospective study, 2320 patients over 20 years of age who underwent thyroidectomy in Imam Khomeini, Arvand, and Mehr Ahvaz hospitals, Khuzestan Province, southern Iran between 2011 and 2022 were enrolled. Data were analyzed using SPSS software, version 22.

Results: 70.7% of the patients were in the age range of 20-50 years. Twenty-five (1.1%) of patients developed a hematoma after thyroidectomy. Males are more likely to hematoma after surgery (P=0.01). Hematoma was significantly higher in patients with a history of hypertension (P=0.001). Moreover, a significant association was found between male gender, and age over 50 years with the risk of hematoma (P<0.05). The incidence of hematoma had a statistically remarkable correlation with follicular thyroid cancer pathology (P=0.001). Other pathology diagnoses were not significantly related to hematoma formation after thyroidectomy.

Conclusions: Hematoma after thyroidectomy surgery is a rare, but dangerous and life-threatening complication. It is important to identify risk factors for hematoma formation.

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评估甲状腺切除手术后血肿的形成及其相关因素

背景：近十年来，接受甲状腺切除术的患者人数有所增加。与其他方法相比，甲状腺切除术是治疗各种甲状腺疾病的一种相对安全的方法。然而，甲状腺内的血流量很大，甲状腺切除术后血肿是其并发症之一。我们旨在评估甲状腺切除术后血肿及其相关因素：在这项回顾性研究中，我们选取了 2011 年至 2022 年期间在伊朗南部胡齐斯坦省伊玛目-霍梅尼医院、阿尔万德医院和梅尔-阿瓦士医院接受甲状腺切除术的 2320 名 20 岁以上患者作为研究对象。数据使用 SPSS 软件 22 版进行分析：70.7%的患者年龄在 20-50 岁之间。25名患者（1.1%）在甲状腺切除术后出现血肿。男性术后更容易出现血肿（P=0.01）。有高血压病史的患者血肿发生率明显更高（P=0.001）。此外，男性性别和50岁以上年龄与血肿风险之间也存在明显关联（PC结论：甲状腺切除术后血肿是一种罕见但危险的并发症，可危及生命。确定血肿形成的风险因素非常重要。

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来源期刊

World Journal of Plastic Surgery SURGERY-

自引率

11.10%

发文量