[Value of preoperative diagnosis in struma surgery].
To determine the usefulness of so-called routine diagnostic procedures prior to thyroid operations, in 2007 consecutive patients undergoing thyroid surgery from 1976 until 1991, the results of 1833 scintigraphy examinations, 1358 tracheal X-rays, 773 ultrasound examinations, 302 fine-needle aspiration biopsies (FNAB), and 73 frozen sections (FS) performed during operation were evaluated. Scintigraphy and ultrasound showed similar positive predictive values, ranging between 85% and 95%, in detecting thyroid nodules. The sensitivity of FNAB and FS were 44% and 83%, respectively. Mechanical alteration of the trachea was found to correlate to a high degree with severe postoperative respiratory disorders, requiring prolonged ventilation or tracheotomy either during primary surgery or as a secondary procedure.
Linder
R
R
Klinik für Allgemein- und Thoraxchirurgie, Justus-Liebig-Universität Giessen.
Sahin
G
G
Grimm
H
H
D001707:Biopsy, Needle; D003952:Diagnostic Imaging; D003955:Diagnostic Tests, Routine; D006044:Goiter, Nodular / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D006801:Humans; D011183:Postoperative Complications / Q000209:etiology / Q000517:prevention & control*; D012307:Risk Factors; D012680:Sensitivity and Specificity; D013961:Thyroid Gland / Q000473:pathology; D013964:Thyroid Neoplasms / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D013965:Thyroidectomy
Die Wertigkeit der präoperativen Diagnostik in der Strumachirurgie.