Analysis of risk factors for bleeding after thyroid surgery.
- Author:
Xiaoping QIU
1
;
Zhengjiang LI
2
;
Jie LIU
2
;
Changming AN
2
;
Yulin YIN
2
;
Pingzhang TANG
2
;
Zhengang XU
2
Author Information
- Publication Type:Journal Article
- MeSH: Humans; Postoperative Hemorrhage; Retrospective Studies; Risk Factors; Thyroid Gland; surgery; Thyroidectomy; adverse effects
- From: Chinese Journal of Otorhinolaryngology Head and Neck Surgery 2016;51(1):63-67
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo identify risk factors for bleeding after thyroid surgery, and discuss the potential relevance between the bleeding timing and sources.
METHODSA total of 2568 cases that underwent thyroid operation from June 2012 to June 2013 were collected and analysed retrospectively the risk factors for postoperative bleeding by Cox and the potential relevance between the bleeding timing and sources.
RESULTSAmong 2568 patients, 40 patients occurred postoperative bleeding Indentified risk factors were extent resection (P=0.0435) and surgeon (P=0.0071). Thyroid bed and strap muscles/sternocleidomastoid were the most common sources of bleeding after surgery within 6 hours; while thyroid bed was the most common source of bleeding after surgery between 6 and 8 h; wound errhysis was the most common source during 8-24 h after the operation; thyroid bed and strap muscles/sternocleidomastoid were the most common sources within 24 h after thgroid surgery.
CONCLUSIONSBleeding after thyroid surgery is a rare but potentially life-threatening complication, and the extent of resection and the surgeon are risk factors. Thyroid bed and strap muscles/sternocleidomastoid are the most common sources of bleeding after surgery within 24 hours.
