摘要
[目的]探讨分化型甲状腺癌中央区清扫对甲状旁腺功能的影响及中央区清扫术后甲状旁腺功能减退的情况与预防方法.[方法]回顾性分析2009年6月至2011年6月本科室390例分化型甲状腺癌中央区清扫术中避免甲状旁腺误切与保护甲状旁腺血供的方法及术后甲状旁腺功能减退的情况.[结果]本组390例病人中有360例术后发生低钙血症,有临床症状者占16.1%（58/360）.单侧中央区清扫术后发生低钙血症23例,占9.6%（23/239）,双侧中央区清扫术后发生低钙血症35例,占23.2%（35/151）.[结论]甲状旁腺功能低下致低钙血症是甲状腺术后的严重并发症之一,双侧中央区清扫比单侧中央区清扫术后发生甲状旁腺功能低下的比率高.
[Objective]To observe and analyze the effect of central lymph node dissection of differentiated thyroid cancer on parathyroid function and to discuss the incidence of hypoparathyroidism after central node dissection and its prophylaxis methods. [Methods] The methods to avoid false excision and protect the blood supply of parathyroid and postoperative hypoparathyroidism in 390 patients with differentiated thyroid cancer undergoing central lymph node dissection in our department from June 2009 to June 2011 were analyzed retro- spectively. [Results]Of 390 patients, 360 patients had hypocalcemia after operation. The patients with clinical symptoms accounted 16. 1% （58/360）. Hypocalcemia occurred in 23 cases（9. 6%） after unilateral central lymph node dissection and in 35 cases（23.2%） after bilateral central lymph node dissection. [Conclusion] Hy- pocalcemia caused by hypoparathyroidism is a serious complication after thyroid surgery. The incidence of hy- poparathyroidism after bilateral central lymph node dissection is higher than that after unilateral central lymph node dissection.
出处
《医学临床研究》
CAS
2012年第1期111-114,共4页
Journal of Clinical Research
