197例甲状腺全切除术甲状旁腺的保护措施  

Parathyroid glands preservation in 197 cases with thyroidectomy

作　　者：瞿彩兴[1] 蒋鹏程[1] 

机构地区：[1]江苏大学附属人民医院,江苏镇江212002

出　　处：《实用临床医药杂志》2013年第17期156-157,共2页Journal of Clinical Medicine in Practice

摘　　要：目的探讨甲状腺全切除术后致甲状旁腺功能低下的原因及预防治疗措施。方法回顾性分析2011年1月—2013年5月收治的197例甲状腺全切手术患者的临床资料。结果术后暂时性甲状旁腺功能低下发生率为39.1%(77/197),随访无1例发生永久性甲状旁腺功能低下。结论术中保护甲状旁腺的血供,分离甲状旁腺时避免直接挫伤和误切,术后对血钙明显降低者补充钙剂是保护甲状旁腺功能的重要措施。Objective To discuss the causes and prevention for hypoparathyroidism which is caused by total thyroidectomy. Methods The clinical data of 197 patients who received total thy- roidectomy during Jan 2011 to May 2013 were retrospectively analyzed. Results Temporary hy- poparathroidism rate after surgery was 39.1% （77/197） and the follow - up showed that there was not a single case with permanent hypoparathyriodism. Conclusion Maintaining intraoperative blood supply for parathyroid, avoiding direct contusion or misresection, and postoperativ calcium supplement are important measures to protect parathyroid functions.

关 键 词：甲状腺手术 甲状旁腺损伤 甲状旁腺功能低下 

分 类 号：R581[医药卫生—内分泌]