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首页> 外文期刊>Journal of Clinical and Diagnostic Research >Preoperative Preparation with Lugol?s Iodine in Thyroidectomy of Euthyroid Patients-Is it Really Mandatory?-An Otorhinolaryngologist?s View
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Preoperative Preparation with Lugol?s Iodine in Thyroidectomy of Euthyroid Patients-Is it Really Mandatory?-An Otorhinolaryngologist?s View

机译：Lugol？s碘在甲状腺癌甲状腺切除术前的术前准备-是否真的必须？-耳鼻喉科医生的观点

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Objective: To elucidate the necessity of Lugol?s iodine in preoperative preparation of patients undergoing thyroidectomy.Materials and Methods: Hundred and five euthyroid patients who underwent surgery without preoperative preparation of patients with Lugol?s iodine were enrolled in this retrospective study conducted during the period May 2009 to August 2013 in Teaching Hospital. Indication of surgery was ranging from suspected malignancy to cosmetic reasons and compressive features like dysphagia , dyspnoea and hoarseness of voice.Results: All patients were operated by the same surgeon where in hemi, total and subtotal thyroidectomies were performed without any usage of Lugol?s iodine preoperatively. During the postoperative period the following events occurred, five patients (4.7%) had incurred recurrent laryngeal nerve palsy (RLNP) which was confirmed with postoperative Indirect laryngoscopic examination and two patients (1.9%) with hypocalcemia (serum calcium less than 8mg/dl) which was managed conservatively and effectively. Among these five patients, three patients had (Right RLNP) and two patients had (Left RLNP) palsies. Of these four RLNP (3.8%) were temporary which improved with conservative management within 3weeks-6months duration and one (0.9%) was a permanent Rt RLNP with no improvement even after six months.Conclusion: Hence, we conclude that it is not of much importance to use Lugol?s iodine preoperatively in patients undergoing thyroidectomy. There does not appear any convincing evidence of advantages of preoperative preparation of patients with lugol?s iodine in euthyroid state undergoing surgery.
机译：目的：阐明在接受甲状腺切除术患者术前准备中使用Lugol？碘的必要性。材料与方法：回顾性分析了100例未经术前准备Lugol？碘患者的甲状腺手术患者。期间为2009年5月至2013年8月在教学医院就读。手术适应症的范围从怀疑的恶性肿瘤到美观的原因以及吞咽困难，呼吸困难和声音嘶哑等压缩特征。术前补碘。术后发生以下事件，有5例（4.7％）发生喉返神经麻痹（RLNP），并经术后间接喉镜检查确诊，还有2例（1.9％）低钙血症（血清钙低于8mg / dl）对此进行了保守有效的管理。在这五名患者中，三名患有（右RLNP）麻痹，两名患有（左RLNP）麻痹。这4个RLNP（3.8％）是暂时性的，在3周至6个月的持续时间内通过保守治疗得到了改善，其中一个（0.9％）是永久性Rt RLNP，甚至六个月后也没有改善。在甲状腺切除术患者术前使用卢戈尔碘非常重要。尚无任何令人信服的证据表明术前准备甲状腺功能正常的卢戈尔碘患者的术前准备具有优势。

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