中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2014年
5期
6-8
,共3页
全甲状腺切除术%甲状旁腺%甲状旁腺功能减低%低钙血症
全甲狀腺切除術%甲狀徬腺%甲狀徬腺功能減低%低鈣血癥
전갑상선절제술%갑상방선%갑상방선공능감저%저개혈증
Total thyroidectomy%Parathyroid%Hypoparathyroidism%Hypocalcemia
目的 探讨在全甲状腺切除术中,行甲状旁腺原位保留对降低甲状旁腺功能减低与低钙血症发生率的临床价值.方法 选择154例行全甲状腺切除术的甲状腺癌患者,将其随机分为传统手术组和术中行甲状旁腺原位保留组,比较两组患者术后发生甲状旁腺功能减低及低钙血症的发生率.结果 两组患者均无永久性甲状旁腺功能减退的发生.行甲状旁腺原位保留组患者出现暂时性的甲状旁腺功能减低1例(1.32％),血钙水平降低5例(6.58％).而传统手术组则分别为4例(5.13％)、13例(16.7％).术后两组患者甲状旁腺功能减低及低钙血症的发生率差异均有统计学意义(P＜0.05).结论 全甲状腺切除术中,行甲状旁腺原位保留可有效降低甲状旁腺功能减低及低钙血症的发生率.
目的 探討在全甲狀腺切除術中,行甲狀徬腺原位保留對降低甲狀徬腺功能減低與低鈣血癥髮生率的臨床價值.方法 選擇154例行全甲狀腺切除術的甲狀腺癌患者,將其隨機分為傳統手術組和術中行甲狀徬腺原位保留組,比較兩組患者術後髮生甲狀徬腺功能減低及低鈣血癥的髮生率.結果 兩組患者均無永久性甲狀徬腺功能減退的髮生.行甲狀徬腺原位保留組患者齣現暫時性的甲狀徬腺功能減低1例(1.32％),血鈣水平降低5例(6.58％).而傳統手術組則分彆為4例(5.13％)、13例(16.7％).術後兩組患者甲狀徬腺功能減低及低鈣血癥的髮生率差異均有統計學意義(P＜0.05).結論 全甲狀腺切除術中,行甲狀徬腺原位保留可有效降低甲狀徬腺功能減低及低鈣血癥的髮生率.
목적 탐토재전갑상선절제술중,행갑상방선원위보류대강저갑상방선공능감저여저개혈증발생솔적림상개치.방법 선택154례행전갑상선절제술적갑상선암환자,장기수궤분위전통수술조화술중행갑상방선원위보류조,비교량조환자술후발생갑상방선공능감저급저개혈증적발생솔.결과 량조환자균무영구성갑상방선공능감퇴적발생.행갑상방선원위보류조환자출현잠시성적갑상방선공능감저1례(1.32％),혈개수평강저5례(6.58％).이전통수술조칙분별위4례(5.13％)、13례(16.7％).술후량조환자갑상방선공능감저급저개혈증적발생솔차이균유통계학의의(P＜0.05).결론 전갑상선절제술중,행갑상방선원위보류가유효강저갑상방선공능감저급저개혈증적발생솔.
Objective To investigate the clinical value of keeping parathyroid in situ on reducing the incidence of hypoparathyroidism and hypocalcemia during total thyroidectomy.Methods One hundred and fifty-four patients underwent total thyroidectomy were divided into two groups randomly,one group was given normal surgery,and the other group was kept parathyroid in situ.And then the incidences of hypoparathyroidism and hypocalcemia after surgery were compared.Results There was no single permanent parathyroid function during the two groups.There was 1 case(1.32％) of hypopara thyroidism and 5 cases (6.58％)of hypocalcemia in the patients who were kept parathyroid in situ.There were 4 cases (5.13 ％) of hypoparathyroidism and 13 cases (16.7 ％) of hypocalcemia in the patients who were given normal surgery.There were significant differences between the two groups in the incidences of hypoparathyroidism and hypocalcemia(P ＜ 0.05).Conclusions Keeping parathyroid in situ during total thyroidectomy can reduce the incidences of parathyroid function and hypocalcemia effectively.
