医学美学美容(中旬刊)
醫學美學美容(中旬刊)
의학미학미용(중순간)
MEDICAL AESTHETICS AND COSMETOLOGY
2014年
8期
2-2
,共1页
甲状腺切除术%切口感染%抗生素
甲狀腺切除術%切口感染%抗生素
갑상선절제술%절구감염%항생소
thyroidectomy%incision infection%antibiotics
背景:虽然甲状腺切除术是一个小手术切口,手术持续时间短,切口感染率低,但是临床医生仍对感染病例有所顾虑。目的:回顾性分析在甲状腺切除术后围手术期不使用抗生素对切口感染的预防。方法:776例患者甲状腺术后围手术期未施用预防性抗生素,其中68.0%单侧结节性甲状腺肿或甲状腺腺瘤患者行单侧全叶切除术或甲状腺部分切除术,25.5%结节性甲状腺肿或Graves病的患者行双侧甲状腺部分切除术,平均手术时间为89.6±5.87(范围:35-390)分钟。结果:2例双侧甲状腺部分切除术的病人残余甲状腺继发性出血,1例右侧甲状腺全切、左侧甲状腺次全切的结节性甲状腺肿患者出现暂时性喉返神经麻痹。1例患者双侧甲状腺部分切除后5天颈部切口化脓性感染。结论:甲状腺切除术是一个清洁手术,切口小、手术时间短、出血少。在严格无菌条件和止血充分的条件下进行操作,则不需要预防性使用抗生素防止切口感染,从而降低成本,不会造成使用抗生素过度。
揹景:雖然甲狀腺切除術是一箇小手術切口,手術持續時間短,切口感染率低,但是臨床醫生仍對感染病例有所顧慮。目的:迴顧性分析在甲狀腺切除術後圍手術期不使用抗生素對切口感染的預防。方法:776例患者甲狀腺術後圍手術期未施用預防性抗生素,其中68.0%單側結節性甲狀腺腫或甲狀腺腺瘤患者行單側全葉切除術或甲狀腺部分切除術,25.5%結節性甲狀腺腫或Graves病的患者行雙側甲狀腺部分切除術,平均手術時間為89.6±5.87(範圍:35-390)分鐘。結果:2例雙側甲狀腺部分切除術的病人殘餘甲狀腺繼髮性齣血,1例右側甲狀腺全切、左側甲狀腺次全切的結節性甲狀腺腫患者齣現暫時性喉返神經痳痺。1例患者雙側甲狀腺部分切除後5天頸部切口化膿性感染。結論:甲狀腺切除術是一箇清潔手術,切口小、手術時間短、齣血少。在嚴格無菌條件和止血充分的條件下進行操作,則不需要預防性使用抗生素防止切口感染,從而降低成本,不會造成使用抗生素過度。
배경:수연갑상선절제술시일개소수술절구,수술지속시간단,절구감염솔저,단시림상의생잉대감염병례유소고필。목적:회고성분석재갑상선절제술후위수술기불사용항생소대절구감염적예방。방법:776례환자갑상선술후위수술기미시용예방성항생소,기중68.0%단측결절성갑상선종혹갑상선선류환자행단측전협절제술혹갑상선부분절제술,25.5%결절성갑상선종혹Graves병적환자행쌍측갑상선부분절제술,평균수술시간위89.6±5.87(범위:35-390)분종。결과:2례쌍측갑상선부분절제술적병인잔여갑상선계발성출혈,1례우측갑상선전절、좌측갑상선차전절적결절성갑상선종환자출현잠시성후반신경마비。1례환자쌍측갑상선부분절제후5천경부절구화농성감염。결론:갑상선절제술시일개청길수술,절구소、수술시간단、출혈소。재엄격무균조건화지혈충분적조건하진행조작,칙불수요예방성사용항생소방지절구감염,종이강저성본,불회조성사용항생소과도。
Background:Although the procedure requires a smal surgical incision and a short duration,incision infection rate is very low in thyroidectomy;however,doctors stil have misgivings about infection events.Aim:We retrospectively analyzed the prevention of incision infection without perioperative use of antibacterial medications fol owing thyroidectomy.Methods:776 patients of thyroidectomy were not administered perioperative antibiotics.Unilateral total lobectomy or partial thyroidectomy was performed in 68.0%patients with single-side nodular goiter or thyroid adenoma.Bilateral partial thyroidectomy was performed in 25.5% patients with nodular goiter or Graves’disease.The mean time of operation was 89.6 ±5.87 (range:35 # 390) min.Results:Resuturing was performed in two patients of secondary hemorrhage from residual thyroid fol owing bilateral partial thyroidectomy.Temporal y recurrent nerve paralysis was reported fol owing right-side total lobectomy and left-side subtotal lobectomy in a nodular goiter patient.One case had suppurative infection in neck incision 5 days after bilateral partial thyroidectomy. Conclusions:Thyroidectomy,which is a clean incision,involves a smal incision,short duration,and minor hemorrhage.If the operation is performed under strict conditions of sterility and he-mostasis,antibacterial medications may not be required to prevent incision infection,which reduces cost and discourages the excessive use of antibiotics.