CAJ | 학술논문

目的：探讨影响甲状腺二次手术并发症的危险因素，为减少甲状腺二次手术并发症的发生提供参考。方法回顾性分析183例甲状腺二次手术患者的临床资料及并发症发生情况，分析临床因素与并发症发生的关系。结果24（13．1％）例出现并发症，其中气管软化6例，喉返神经损伤9例，喉上神经损伤7例，甲状旁腺功能减退10例。统计分析提示：病灶大小、两次手术间隔时间、是否涉及同侧手术及手术方式与并发症的发生率相关。结论甲状腺手术中行冰冻检查可减少不必要的二次手术；手术中不能排除为甲状腺癌时，行患侧腺体全切可减少二次手术并发症。
목적：탐토영향갑상선이차수술병발증적위험인소，위감소갑상선이차수술병발증적발생제공삼고。방법회고성분석183례갑상선이차수술환자적림상자료급병발증발생정황，분석림상인소여병발증발생적관계。결과24（13．1％）례출현병발증，기중기관연화6례，후반신경손상9례，후상신경손상7례，갑상방선공능감퇴10례。통계분석제시：병조대소、량차수술간격시간、시부섭급동측수술급수술방식여병발증적발생솔상관。결론갑상선수술중행빙동검사가감소불필요적이차수술；수술중불능배제위갑상선암시，행환측선체전절가감소이차수술병발증。
Objective To analyze the risk factors leading to complications in reoperations for thyroid.Methods The clinical data and complication rates of 183 patients underwent reoperations for thyroid were analyzed retrospectively,and the relationship between the clini-cal factors and complications was explored.Results The complications were found in 24 (13.1%)patients including 6 patients who had tra-cheomalacia,7 patients who had superior laryngeal nerve palsy,9 patients who had recurrent laryngeal nerve palsy,and 10 patients who had hypoparathyroidism.Statistical analysis found the patient who had bigger lesion size,shorter interval time in initial operation and reoperation, reoperation on the ipsilateral lobe compared to patients undergoing initial operation,and undergoing total thyroidectomy for thyroid carcinoma had significant higher complication rates.Conclusion Intraoperative frozen section examination is an effective method in reducing the inci-dence of reoperation for thyroid and complication rates in patients undergoing reoperation for thyroid.