甲状腺全切除术中损伤甲状旁腺行自体移植的应用  

Applied value of autologous transplantation of parathyroid in the total resection of thyroid

作　　者：陈峰[1] 王瑞娟[1] 游振辉[1] 

机构地区：[1]福建省立医院基本外科福建医科大学省立临床医学院,福州350001

出　　处：《中华实验外科杂志》2015年第12期3144-3146,共3页Chinese Journal of Experimental Surgery

摘　　要：目的探讨甲状腺全切除术中损伤甲状旁腺行自体移植的临床应用价值。方法312例甲状腺全切除术中损伤甲状旁腺患者，其中147例行甲状旁腺自体移植术（移植组），165例未行甲状旁腺自体移植术（非移植组），比较两组术后发生暂时性甲状旁腺功能低下和永久性甲状旁腺功能低下。结果移植组术后暂时性甲状旁腺功能低下和永久性甲状旁腺功能低下的发生率分别为1．4％和0，低于非移植组的10．9％和4．8％，差异有统计学意义（P〈0．05）。结论甲状腺全切除术中将受损甲状旁腺常规进行自体移植能有效预防术后甲状旁腺功能低下的发生。Objective To discuss the applied value about autologous transplantation of parathyroid in the total resection of thyroid. Methods Study of 312 cases of total resection of thyroid parathyroid injury patients, of which 147 routine parathyroid autograft （transplantation group） and 165 cases without parathyroid autograft （ the transplant group）, compared two groups of postoperative temporary low parathyroid function and permanent low parathyroid function. Results The incidence of transplantation group of post- operative temporary low parathyroid function and permanent low parathyroid function were 1.4% and 0 respectively, below the transplant group were 10. 9% and 4. 8% , the difference was statistically significant （P 〈 0.05）. Conclusion Impaired parathyroid routine for autologous transplantation can effectively prevent the occurrence of postoperative low parathyroid function in the total resection of thyroid.

关 键 词：甲状腺全切除术 甲状旁腺自体移植 甲状旁腺功能低下 

分 类 号：R653[医药卫生—外科学]