中国医药
中國醫藥
중국의약
CHINA MEDICINE
2013年
8期
1107-1108
,共2页
甲状腺乳头状癌%中央区淋巴结清扫术%甲状旁腺损伤
甲狀腺乳頭狀癌%中央區淋巴結清掃術%甲狀徬腺損傷
갑상선유두상암%중앙구림파결청소술%갑상방선손상
Papillary thyroid carcinoma%Central district lymph node dissection%Parathyroid injury
目的 探讨甲状旁腺损伤的临床表现及其与甲状肿瘤手术方式的关系.方法 通过对甲状腺乳头状癌行双侧中央区淋巴结清扫术(CLND)(双侧组,7例)和单侧CLND(单侧组,13例)和发生暂时性甲状旁腺功能低下的对比观察,探讨两种术式致甲旁低的发生率和临床表现.结果 20例患者均顺利完成手术并正常出院.双侧组术后发生暂时性甲状旁腺功能低下6例,单侧组发生3例(P=0.017)；双侧组出现肢体感觉异常3例,单侧组无病例出现症状(P =0.031).术后双侧组甲状旁腺激素下降较单侧组明显(P=0.006).结论 甲状腺乳头状癌行双侧中央区淋巴结清扫发生暂时性甲状旁腺功能低下的机会较单侧中央区淋巴结清扫明显增加,发生肢体感觉异常的机会也明显增加.
目的 探討甲狀徬腺損傷的臨床錶現及其與甲狀腫瘤手術方式的關繫.方法 通過對甲狀腺乳頭狀癌行雙側中央區淋巴結清掃術(CLND)(雙側組,7例)和單側CLND(單側組,13例)和髮生暫時性甲狀徬腺功能低下的對比觀察,探討兩種術式緻甲徬低的髮生率和臨床錶現.結果 20例患者均順利完成手術併正常齣院.雙側組術後髮生暫時性甲狀徬腺功能低下6例,單側組髮生3例(P=0.017)；雙側組齣現肢體感覺異常3例,單側組無病例齣現癥狀(P =0.031).術後雙側組甲狀徬腺激素下降較單側組明顯(P=0.006).結論 甲狀腺乳頭狀癌行雙側中央區淋巴結清掃髮生暫時性甲狀徬腺功能低下的機會較單側中央區淋巴結清掃明顯增加,髮生肢體感覺異常的機會也明顯增加.
목적 탐토갑상방선손상적림상표현급기여갑상종류수술방식적관계.방법 통과대갑상선유두상암행쌍측중앙구림파결청소술(CLND)(쌍측조,7례)화단측CLND(단측조,13례)화발생잠시성갑상방선공능저하적대비관찰,탐토량충술식치갑방저적발생솔화림상표현.결과 20례환자균순리완성수술병정상출원.쌍측조술후발생잠시성갑상방선공능저하6례,단측조발생3례(P=0.017)；쌍측조출현지체감각이상3례,단측조무병례출현증상(P =0.031).술후쌍측조갑상방선격소하강교단측조명현(P=0.006).결론 갑상선유두상암행쌍측중앙구림파결청소발생잠시성갑상방선공능저하적궤회교단측중앙구림파결청소명현증가,발생지체감각이상적궤회야명현증가.
Objective To investigate the relationship between clinical manifestation and operation mode of the parathyroid injury.Methords Twenty consecutive patients had central lymph node dissection with parathyroid hypofunction (CLND).These patients were divided into 2 groups.One group underwent bilateral lymph node dissection and others underwent unilateral lymph node dissection.The clinical results of these 2 groups were analyzed prospectively.Results All patients had successful surgery and were discharged.Patients in bilateral lymph node dissection had a higher temporal parathyroid hypofunction rate(P =0.017).Conclusion The temporal parathyroid hypofunction rate in bilateral lymph node dissection is higher than that in unilateral lymph node dissection.
