医学理论与实践
醫學理論與實踐
의학이론여실천
The Journal of Medical Theory and Practice
2015年
12期
1561-1562,1565
,共3页
甲状腺全切除术%低钙血症%危险因素
甲狀腺全切除術%低鈣血癥%危險因素
갑상선전절제술%저개혈증%위험인소
Total thyroidectomy%Hypocalcemia%Risk factors
目的：探讨甲状腺全切术后低钙血症发生的相关危险因素。方法：分析97例甲状腺疾病行全甲状腺切除术的临床资料及病理特点。结果：97例患者中出现低钙血症共52例（53．6％）。术式次数、颈部单侧或双侧淋巴结清扫、病理类型和甲状旁腺误除是术后低钙血症发生有关的单危险因素；甲状腺癌、颈部淋巴结清扫和甲状旁腺切除是术后低钙血症的独立危险因素（P＜0．01）。结论：手术误伤或切除甲状旁腺是术后低钙血症的主要因素，病理类型是甲状腺全切术后引起低钙血症的重要因素，颈淋巴结清除术是术后PT H及血钙降低的危险因素。
目的：探討甲狀腺全切術後低鈣血癥髮生的相關危險因素。方法：分析97例甲狀腺疾病行全甲狀腺切除術的臨床資料及病理特點。結果：97例患者中齣現低鈣血癥共52例（53．6％）。術式次數、頸部單側或雙側淋巴結清掃、病理類型和甲狀徬腺誤除是術後低鈣血癥髮生有關的單危險因素；甲狀腺癌、頸部淋巴結清掃和甲狀徬腺切除是術後低鈣血癥的獨立危險因素（P＜0．01）。結論：手術誤傷或切除甲狀徬腺是術後低鈣血癥的主要因素，病理類型是甲狀腺全切術後引起低鈣血癥的重要因素，頸淋巴結清除術是術後PT H及血鈣降低的危險因素。
목적：탐토갑상선전절술후저개혈증발생적상관위험인소。방법：분석97례갑상선질병행전갑상선절제술적림상자료급병리특점。결과：97례환자중출현저개혈증공52례（53．6％）。술식차수、경부단측혹쌍측림파결청소、병리류형화갑상방선오제시술후저개혈증발생유관적단위험인소；갑상선암、경부림파결청소화갑상방선절제시술후저개혈증적독립위험인소（P＜0．01）。결론：수술오상혹절제갑상방선시술후저개혈증적주요인소，병리류형시갑상선전절술후인기저개혈증적중요인소，경림파결청제술시술후PT H급혈개강저적위험인소。
Objective:To investigate the risk factors discussed after total thyroidectomy hypocalcemia occurred .Meth-ods:The clinical data of 97 cases of thyroid disease with total thyroidectomy and pathological features and analyzed .Re-sults:A total of 52 cases of hypocalcemia (53 .6% ) of 97 patients .The number of surgical procedures ,unilateral or bi-lateral neck dissection ,histological type and parathyroid mistake except a single risk factor for the occurrence of post-operative hypocalcemia;thyroid cancer ,cervical lymph node dissection and parathyroid resection is surgery independ-ent risk factors hypocalcemia (P<0 .01) .Conclusion:Accidental injury or removal of the parathyroid surgery is a major factor for postoperative hypocalcemia ,histological type is an important factor after total thyroidectomy hypocalcemia due to cervical lymph node dissection is a risk of postoperative PT H and calcium reduced factor .
