胸乳径路内镜甲状腺术后并发血清肿的危险因素分析

Analysis of risk factors affecting the development of seromas after endoscopic thyroidectomy via an anterior chest and breast approach

目的:探讨经胸乳径路内镜甲状腺切除术术后并发胸前壁血清肿的危险因素,为临床预防提供依据。方法:回顾性分析344例内镜甲状腺手术患者的临床资料,对可能影响血清肿形成的危险因素进行Logistic回归分析。结果:344例中10例发生血清肿,发生率2.9%。单因素Logistic回归分析提示年龄、体重、体重指数、高血压、胸前壁分离范围、拔管方法与血清肿形成有关,而多因素Logistic回归分析表明年龄、高血压、胸前壁分离范围、拔管方法是血清肿形成的独立危险因素。结论:年龄、高血压、胸前壁分离范围、拔管方法等因素是内镜甲状腺术后血清肿形成的危险因素,术前应选择合适的患者。

Objective：To analyze the risk factors of seroma after endoscopic thyroidectomy（ET） via an anterior chest and breast approach and to provide clinical evidences for prevention.Methods：Risk factors assumed according to the information of 344 patients received ET were analyzed retrospectively with Logistic regression analysis.Results：The incidence of seroma formation was 2.9%（10/344）.The monofactorial Logistic regression analysis obtained 6 risk factors affecting seroma formation,including age,body weight,body mass index,primary hypertension history,dissected subcutaneous space and method of removal drainage tube.However,multifactorial Logistic regression analysis suggested that there was a significant correlation between seroma formation and age,hypertension history,dissected subcutaneous space and method of removal drainage tube.Conclusions：Age,hypertension history,dissected subcutaneous space and method of removal drainage tube were the risk factors of seroma formation after endoscopic thyroidectomy.