中医临床研究
中醫臨床研究
중의림상연구
CLINICAL JOURNAL OF CHINESE MEDICINE
2014年
33期
47-48
,共2页
甲状腺全切除术%甲状腺旁腺损伤%中医疗法
甲狀腺全切除術%甲狀腺徬腺損傷%中醫療法
갑상선전절제술%갑상선방선손상%중의요법
Total thyroidectomy%Parathyroid gland%Traditional Chinese medicine therapy
目的：探讨甲状腺全切及中央组淋巴结清扫术后甲状旁腺功能低下与手术方式以及手术操作的关系。方法：回顾性分析2009年1月～2013年6月间本院收治的125例甲状腺疾病手术治疗临床资料并术后随访，结果：暂时性出现低钙症状35例（28%），无永久性甲状旁腺功能低下，甲状腺全切术并中央区颈清扫术后出现低钙症状25例（71.4%）明显高于甲状腺全切除术。结论：甲状腺全切除及中央区颈清扫术影响甲状腺旁腺功能，提高术者素质，遵循精确的手术操作是减少甲状旁腺功能低下的关键。
目的：探討甲狀腺全切及中央組淋巴結清掃術後甲狀徬腺功能低下與手術方式以及手術操作的關繫。方法：迴顧性分析2009年1月～2013年6月間本院收治的125例甲狀腺疾病手術治療臨床資料併術後隨訪，結果：暫時性齣現低鈣癥狀35例（28%），無永久性甲狀徬腺功能低下，甲狀腺全切術併中央區頸清掃術後齣現低鈣癥狀25例（71.4%）明顯高于甲狀腺全切除術。結論：甲狀腺全切除及中央區頸清掃術影響甲狀腺徬腺功能，提高術者素質，遵循精確的手術操作是減少甲狀徬腺功能低下的關鍵。
목적：탐토갑상선전절급중앙조림파결청소술후갑상방선공능저하여수술방식이급수술조작적관계。방법：회고성분석2009년1월～2013년6월간본원수치적125례갑상선질병수술치료림상자료병술후수방，결과：잠시성출현저개증상35례（28%），무영구성갑상방선공능저하，갑상선전절술병중앙구경청소술후출현저개증상25례（71.4%）명현고우갑상선전절제술。결론：갑상선전절제급중앙구경청소술영향갑상선방선공능，제고술자소질，준순정학적수술조작시감소갑상방선공능저하적관건。
Objective: To explore the relationship between hypothyroidism after total thyroidectomy with central group lymphadenectomy and surgical methods and operations. Methods: We retrospectively analyzed surgical data of 125 cases treated in our hospital during January, 2009 to June, 2006 and paid postoperative visits. Results: 35 cases (28%) developed temporary hypocalcemia symptoms; no permanent hypothyroidism happened; 25 cases (71.4%) of total thyroidectomy with central group lymphadenectomy developed hypocalcemia which was significantly higher than those of total thyroidectomy. Conclusion: Total thyroidectomy with central group lymphadenectomy can affect the parathyroid gland function. It is key to reduce the occurrence of hypothyroidism that to improve operators’ quality and follow accurate surgical operations.
