甲状腺再次手术中国专家共识
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国家自然科学基金资助项目(82270835)。


Chinese expert consensus on thyroid reoperation
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    摘要:

    甲状腺再次手术常见且风险较高,已成为临床重要挑战。本共识结合国内外循证证据和中国临床实践,对甲状腺再次手术的原因与分类、适应证、手术时机、术前评估与准备、手术入路及关键技术,以及术后综合治疗与随访等进行了系统梳理与总结。专家组强调多学科协作、精准评估和个体化治疗的重要性,旨在降低手术风险、改善患者预后,并为临床医生提供科学的决策参考。

    Abstract:

    Reoperation for thyroid disease is not uncommon and associated with high risk, constituting a significant challenge in clinical practice. This consensus, developed based on international evidence and Chinese clinical practice, systematically addresses the causes and classification, indications, timing, preoperative assessment, surgical approaches, key techniques, as well as comprehensive postoperative management and follow-up of thyroid reoperations. The expert panel emphasizes the importance of multidisciplinary collaboration, precise evaluation, and individualized treatment, aiming to minimize surgical risks, enhance patient outcomes, and provide evidence-based guidance for informed clinical decision-making.

    图1 手术入路示意图 A:经胸锁乳突肌和带状肌之间入路;B:经带状肌肌间入路Fig.1 Schematic diagram of surgical approaches A: Approach between the sternocleidomastoid muscle and the strap muscles; B: Intermuscular approach through the strap muscles
    表 1 GRADE证据质量分级Table 1 GRADE evidence quality grading
    表 2 GRADE证据推荐强度分级Table 2 GRADE evidence recomendation level
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中国医师协会外科医师分会甲状腺外科专家工作组,中国研究型医院学会甲状腺疾病专业委员会,中国医疗保健国际交流促进会普通外科学分会.甲状腺再次手术中国专家共识[J].中国普通外科杂志,2025,34(11):2297-2309.
DOI:10.7659/j. issn.1005-6947.250473

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  • 收稿日期:2025-08-25
  • 最后修改日期:2025-08-27
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  • 在线发布日期: 2025-12-27