月经期对甲状腺手术影响的研究

【摘要】 目的〓明确月经期是否适合做甲状腺手术。方法〓回顾性调查2012年3月至2014年12月在我院进行甲状腺手术的患者,其中月经期手术为33例,非月经期为75例,观察并分析两组病人的术前出凝血功能、手术时间、术中出血、术后引流量等差异。结果〓两组病人术前凝血功能无显著差异;月经期患者术中平均出血量(7.6 mL)、术后平均引流量(4.8 mL)均多于非月经期(分别为5.1 mL和3.1 mL)且差异有统计学意义。但两组的手术时间、并发症以及患者恢复时间没有明显差异。结论〓月经期对凝血功能并未影响到甲状腺手术的进行,术中出血量没有实际临床意义。

Investigation of adverse effect of menstrual cycle on thyroid surgery

【Abstract】 Objective〓To evaluate the effect of menstrual cycle on perioperative bleeding in patients undergoing thyroid surgery. Methods Retrospectively survey was performed in 33 patients(perimenstrual period,observation group) underwent thyroid surgeries in our hospital from March 2012 to December 2014. Another 75 patients over the same time during non-menstrual period were assigned to control group. The coagulation function, duration of procedure, blood loss during operation and amount of postoperative drainage between the two groups were observed and analyzed. Results〓There were no significant differences of preoperative coagulation function. Blood loss and postoperative drainage in observation group were 7.6 ml, 5.1 ml, and 4.8 ml, 3.1 ml in the control group and there were the statistical conferences between two groups. However, the operation time, complications recovery time between were not comparable. Conclusion〓The menstrual period isn't affect operation planning for thyroid surgery.