甲状腺癌Ⅵ区清扫术中保留甲状腺血管后支的应用价值研究  

Study on the application of posterior thyroid vascular reservation in the dissection of thyroid carcinoma area Ⅵ

作　　者：孙国辉[1] 陈晶[1] 

机构地区：[1]新疆医科大学第二附属医院肿瘤外科,新疆乌鲁木齐830063

出　　处：《实用临床医药杂志》2013年第11期38-40,共3页Journal of Clinical Medicine in Practice

基　　金：中国高校医学期刊临床专项资金(11320116)

摘　　要：目的研究甲状腺癌Ⅵ区清扫术中保留甲状腺血管后支和常规手术对甲状旁腺血运及功能的影响。方法比较甲状腺癌Ⅵ区清扫术中保留甲状腺血管后支和常规手术术后甲状旁腺血运情况及血钙水平和甲状旁腺功能受损情况。结果 A组患者甲状腺损伤程度和甲状腺血运障碍程度显著低于B组;A组患者术后血钙水平显著高于B组。结论甲状腺癌Ⅵ区清扫术中保留甲状腺血管后支与常规手术相比对甲状旁腺血运影响更小,术后血钙水平降低更少,且对于甲状旁腺的损伤小。Objective To study the effects of the reservation of posterior thyroid vessels and conventional operation on the parathyroid blood supply and function in the dissection of thyroid carcinoma area Ⅵ.Methods By the reservation of posterior thyroid vessels and conventional operation,the conditions of postoperative parathyroid blood supply,blood calcium level and parathyroid functional injury were observed and compared in the dissection of thyroid carcinoma area Ⅵ.Results The degrees of parathyroid injury and blood supply disturbance of patients in group A were significantly lower than those in group B,while the postoperative blood calcium level conspicuously higher than that in group B.Conclusion Compared with conventional operation,the reservation of posterior thyroid vessels exerts smaller effects on the parathyroid blood supply and injury,and the decrease of postoperative blood calcium is less.

关 键 词：甲状腺癌 甲状旁腺 Ⅵ区清扫术 

分 类 号：R736.1[医药卫生—肿瘤]