CAJ | 학술논문

　　目的探讨甲状腺手术中甲状旁腺保护及术后低钙血症的处理方法。方法70例患者其中双侧腺叶全切除术5例，一侧腺叶全切除术+对侧次全切除术20例，双侧次全切除术13例，一侧腺叶全切除+对侧部分切除术12例，单侧腺叶次全切除术20例。术中注意甲状旁腺的保护。结果在70例甲状腺手术中，23例发生低钙血症，发生率32.86%。其中双侧腺叶全切除术5例，一侧腺叶全切除术+对侧次全切除术14例，双侧次全切除术2例，一侧腺叶全切除+对侧部分切除术1例，单侧腺叶次全切除术1例。给予对症治疗后，均得到有效控制。结论甲状腺手术后易发生低钙血症，患者多为暂时性低血钙，部分患者有低钙症状，适当补钙，均可得到较好的预后。
　　목적탐토갑상선수술중갑상방선보호급술후저개혈증적처리방법。방법70례환자기중쌍측선협전절제술5례，일측선협전절제술+대측차전절제술20례，쌍측차전절제술13례，일측선협전절제+대측부분절제술12례，단측선협차전절제술20례。술중주의갑상방선적보호。결과재70례갑상선수술중，23례발생저개혈증，발생솔32.86%。기중쌍측선협전절제술5례，일측선협전절제술+대측차전절제술14례，쌍측차전절제술2례，일측선협전절제+대측부분절제술1례，단측선협차전절제술1례。급여대증치료후，균득도유효공제。결론갑상선수술후역발생저개혈증，환자다위잠시성저혈개，부분환자유저개증상，괄당보개，균가득도교호적예후。
?Objective?It is thyroid surgery, parathyroid protection and treatment of postoperative hypocalcemia. Methods 70patients, including bilateral lobe resection 5 cases, the side lobe subtotal hysterectomy + contralateral subtotal resection in20 cases, 13 cases of bilateral subtotal resection, the side lobe subtotal + contralateralpartial resection of 12 cases the unilateral lobe subtotal resection of 20 cases. Pay attention to the protection of parathyroid surgery. Results 70cases of thyroid surgery, 23 cases of hypocalcemia, the incidence of 32.86%. Bilateral lobe resection 5cases, the side lobe resection + contralateral subtotal resection of 14 cases, bilateral subtotal resection of two cases, one side lobe subtotal + contralateral partial nephrectomy cases of unilateral lobe subtotal resection. Given symptomatic treatment, have been effectively controlled. Conclusion Prone to hypocalcemia after thyroid surgery in patients with transient hypocalcemia, low calcium symptoms in some patients, appropriate supplements, may get a better prognosis.