갑상선 수술 후 합병증인 애성, 저칼슘혈증 및 혈종에 대한 임상적 연구

• 영문명: A Clinical Study of Thyroidectomy Complications: Hoarseness, Hypocalcemia and Hematoma
• 발행기관: 대한내분비외과학회
• 저자명: 범우성 문덕진 김준식 박범석 Wooseong Beom M.D. Dukjin Moon M.D. Junsik Kim M.D. and Bumsuk Park M.D.
• 간행물 정보: 『The Koreran journal of Endocrine Surgery』7권4호, 252~256쪽, 전체 5쪽
• 주제분류: 의약학 > 일반외과학
• 파일형태: PDF
• 발행일자: 2007.12.30

영문 초록

Purpose: The use of thyroidectomy has increased as a diagnostic technique for thyroid disease. However, performance of a, thyroidectomy is accompanied with complications. Post-thyroidectomy complications include recurrent laryngeal nerve palsy, hypocalcemia, hematoma, infection, and thyroid storm. The aim of this study was to determine the clinical incidence and to evaluate complications after a thyroidectomy, including recurrent laryngeal nerve palsy, hypocalcemia, hematoma, and scaring, following a retrospective review of cases. Methods: From July 2004 to May 2006, 661 consecutive patients that had undergone a thyroidectomy were identified. Through a retrospective review, we evaluated the incidence and type of complications, including recurrent laryngeal nerve palsy, hypocalcemia, hematoma, and postoperative scaring. Results: 1) Recurrent laryngeal nerve palsy was a very serious complication, but had a very low incidence. Eight cases out of 661 cases developed and most of the cases developed after a total thyroidectomy. 2) Hypocalcemia was the most common complication. Each incidence of hypocalcemia of methods of thyroid surgery was significant (P= 0.019) but, thyroid disease did not have significant difference (P=0.071). 3) The incidence of postoperative hematoma was 2.74% (18/655). Graves' disease was more predominant than other diseases. Conclusion: Post-thyroidectomy complications and cosmetic problems include recurrent laryngeal nerve palsy, hypocalcemia, hematoma, and postoperative scar. An understanding of the incidence and review of complications after a thyroidectomy may reduce their incidence. (Korean J Endocrine Surg 2007;7:252-256)

키워드

갑상선 절제술, 합병증, 갑상선 질환,Thyroidectomy, Complications, Thyroid disease