CAJ | 학술논문

目的：探讨影响结节性甲状腺肿患者术后并发症发生的相关危险因素。方法回顾分析2006年1月~2014年4月我院住院收治行手术切除治疗的结节性甲状腺肿患者286例的临床资料，对可能影响患者术后并发症发生的相关临床指标进行多因素分析。结果本组行手术切除治疗的286例结节性甲状腺肿患者中，术后发生并发症15例（并发症组），未发生并发症271例（无并发症组）。单因素分析结果显示，并发症组和无并发症组年龄、伴有合并病、是否再次手术及手术方式比较，差异有统计学意义（P＜0.05）。Logistic回归分析结果显示：伴有合并病、是否再次手术及手术方式是影响结节性甲状腺肿患者术后并发症发生的独立危险因素。结论行结节性甲状腺肿手术前，临床应完善手术前的评估和可能存在影响手术并发症发生的高危因素，术者应根据患者病情设计手术方式，全局性把握和熟悉甲状腺及其毗邻的局部解剖等，从而使并发症的发生风险性降到最小。
목적：탐토영향결절성갑상선종환자술후병발증발생적상관위험인소。방법회고분석2006년1월~2014년4월아원주원수치행수술절제치료적결절성갑상선종환자286례적림상자료，대가능영향환자술후병발증발생적상관림상지표진행다인소분석。결과본조행수술절제치료적286례결절성갑상선종환자중，술후발생병발증15례（병발증조），미발생병발증271례（무병발증조）。단인소분석결과현시，병발증조화무병발증조년령、반유합병병、시부재차수술급수술방식비교，차이유통계학의의（P＜0.05）。Logistic회귀분석결과현시：반유합병병、시부재차수술급수술방식시영향결절성갑상선종환자술후병발증발생적독립위험인소。결론행결절성갑상선종수술전，림상응완선수술전적평고화가능존재영향수술병발증발생적고위인소，술자응근거환자병정설계수술방식，전국성파악화숙실갑상선급기비린적국부해부등，종이사병발증적발생풍험성강도최소。
Objective To study the influence of the related risk factors for postoperative complications of nodular goiter patients. Methods From January 2006 to April 2014, the clinical data of 286 patients with nodular goiter in our hospital surgical resection were retrospective analyed. The risk factors of postoperative complications in all patients were analyzed. Results In the treatment of 286 patients with nodular goiter, with postoperative complications occurred in 15 cases of complications group, without complications in 271 cases of no-complications group. Single factor analysis, according to the results of complications group and no-complications group with age, merger disease, whether surgery again and surgical procedure, the difference was statistically significant(P < 0.05). Logistic regression analysis results showed that with merger disease, whether surgery again and surgical procedure were independent risk factors which affect postoperative complications of patients with nodular goiter. Conclusion Before nodular goiter surgery, clinic should improve the preoperative evaluation and possible high-risk factors influencing surgical complications.The performer should be designed according to the patients in surgical procedure, and overall grasp and familiar with the thyroid gland and its adjacent to the local anatomy to decrease postoperative complications.