双侧甲状腺术后低钙血症53例临床分析  

Hypocalcemia after bilateral thyroid surgery:a clinical analysis of 53 cases

作　　者：邱凯[1] 林挺[1] 江珊[1] 

机构地区：[1]福建医科大学附属协和医院血管甲状腺外科,350000

出　　处：《中国实用医药》2012年第21期26-27,共2页China Practical Medicine

摘　　要：目的探讨双侧甲状腺术后低钙血症的原因及防治方法。方法对134例双侧甲状腺术后病例进行动态监测血清钙的变化。结果双侧甲状腺手术后出现低钙血症53例。85例双侧甲状腺全切除患者中术后出现低钙血症36例(42.4%),49例非双侧甲状腺全切除患者术后出现低钙血症17例(34.7%),两者比较差异无统计学意义(P>0.05)。双侧甲状腺全切除患者术后第1、2、3天血钙水平与非双侧甲状腺全切除患者相比,不会明显降低(P>0.05)。结论对于需要进行双侧甲状腺全切除的患者,采用精细化手术操作,并不增加术后低钙血症的风险。Objective Aim To investigate the etiology and treatment of hypoealeemia after bilateral thyroid surgery. Methods The change of serum calcium was analyzed in 134 patients underwent bilateral thy- roideetomy. Remtlts 53 eases developed hypoealeemia after bilateral thyroid surgery. Of them,36 eases were in total thyroideetomy which included 85 eases（42. 4% ）, 17 eases were in not the total thyroideetomy which in- eluded 49 eases（ 34. 7% ）. No significant differences between them （P 〈 0. 05 ）. The serum calcium concentra- tions in not the total thyroideetomy group weren＇t lower than those in the total thyroideetomy group on first, sec- ond and third postoperative day （ P 〉 0. 05 ）. Conelusion For those patients who need total thyroideetomy, using the meticulous capsular dissection technique will not increase the risk of hypocaleemia.

关 键 词：双侧甲状腺切除术 低钙血症 

分 类 号：R653[医药卫生—外科学]