CAJ | 학술논문

　　目的探讨纳米碳在甲状腺手术中对甲状旁腺的保护作用。方法甲状腺手术时，游离部分甲状腺外科包膜后注射纳米碳各0.1~0.2ml于甲状腺上下极，待甲状腺和周围淋巴组织染色后完整游离甲状腺外科包膜，保护未染色组织（可能含有甲状旁腺组织），再常规行甲状腺手术。结果低血钙观察组发生4例，对照组发生10例，差异有统计学意义（P<0.05）；甲状旁腺素下降观察组发生2例，对照组发生9例，差异有统计学意义（P<0.05）；病理证实误切甲状旁腺观察组0例，对照组6例；患者自诉出现低血钙症状观察组5例，对照组11例，差异无统计学意义（P>0.05）。结论在甲状腺手术中使用纳米碳，可以避免甲状旁腺受损。
　　목적탐토납미탄재갑상선수술중대갑상방선적보호작용。방법갑상선수술시，유리부분갑상선외과포막후주사납미탄각0.1~0.2ml우갑상선상하겁，대갑상선화주위림파조직염색후완정유리갑상선외과포막，보호미염색조직（가능함유갑상방선조직），재상규행갑상선수술。결과저혈개관찰조발생4례，대조조발생10례，차이유통계학의의（P<0.05）；갑상방선소하강관찰조발생2례，대조조발생9례，차이유통계학의의（P<0.05）；병리증실오절갑상방선관찰조0례，대조조6례；환자자소출현저혈개증상관찰조5례，대조조11례，차이무통계학의의（P>0.05）。결론재갑상선수술중사용납미탄，가이피면갑상방선수손。
Objective To discuss the role of nano-carbon in the protection of parathyroid during thyroid surgery. Methold Injecting 0.1-0.2ml of nano-carbon in the thyroid of the upper and lower pole after dissociating part of the thyroid capsule during a thyroid surgery.Dissociating the whole thyroid capsule when the thyroid gland and surrounding lymph tissue are stained,then continue finishing the thyroid surgery. The purpose is to protect the non-stained tissue,which may contain parathyroid tissue. Result Using nano-carbon during the thyroid surgery can reduce the damage to parathyroid. Conclusions Using nano-carbon can protect the parathyroid function in thyroid surgery.