分化型甲状腺癌再次手术中甲状旁腺的保护  

Protection of Parathyroid in the Reoperation of Differentiated Thyroid Cancer

作　　者：高腾[1] 

机构地区：[1]河南省人民医院甲状腺外科,河南郑州450003

出　　处：《肿瘤基础与临床》2015年第3期224-226,共3页journal of basic and clinical oncology

摘　　要：目的探讨分化型甲状腺癌(DTC)患者再次手术中甲状旁腺的保护方法和策略。方法回顾性分析32例DTC患者的临床资料,并对甲状旁腺损伤情况进行总结。结果 32例患者均经病理证实为DTC,术后因甲状旁腺素明显降低导致手足麻木者5例,占15.62%。结论 DTC患者再次手术时较易损伤甲状旁腺;DTC的初次手术范围应规范,熟悉甲状旁腺的解剖变异并在术中对其精确辨别,发生误伤及时自体移植,可有效减少损伤的发生。Objective To investigate the protection methods and strategies of parathyroid in the reoperation of differentiated thyroid cancer （DTC）. Methods The clinical data of 32 patients with DTC were analyzed retrospectively, and the parathyroid damage was summarized. Results All the 32 patients were pathologically confirmed for DTC,after operation, the deadlimb caused by decreased parathyroid hormone was observed in the 6 patients （15.62%）. Conclusion parathyroid damage occurs facilely in the reoperation of DTC; DTC initial operation range should be standardized, the surgeon should be familiar with anatomical variations parathyroid, timely autologous transplantation after accidental injury can effectively reduce the incidence of injury.

关 键 词：分化型甲状腺癌 再次手术 甲状旁腺 

分 类 号：R736.1[医药卫生—肿瘤] R730.56[医药卫生—临床医学]