中央组淋巴结清扫术中甲状旁腺损伤与功能保护的研究进展  

Research progress in parathyroid injury and parathyroid function protection during central neck dissection

作　　者：王续[1] 武林枫[1] 

机构地区：[1]哈尔滨医科大学附属第一医院胰胆外科,黑龙江哈尔滨150001

出　　处：《中国普通外科杂志》2016年第5期735-740,共6页China Journal of General Surgery

摘　　要：甲状旁腺的位置变异大、血供脆弱,在形态上与脂肪颗粒或淋巴结具有一定相似性,因此在甲状腺癌合并中央组淋巴结清扫术中容易被误切或使其血供遭到破坏导致术后甲状旁腺功能低下,严重影响患者的生活质量。如何确认旁腺损伤以及保护甲状旁腺功能是甲状腺外科医师着重关注的问题;在中央组淋巴结清扫术中常规进行旁腺自体移植以预防甲状旁腺功能低下尚存争议;应用纳米碳避免甲状旁腺损伤是否有显著意义?笔者就此进行综述,为中央组淋巴结清扫术中如何发现旁腺损伤以及更好的保护甲状旁腺功能提供参考。Because of variation of the position of the parathyroid glands and their fragile supplying blood vessels, and they are similar to fat granule or lymph nodes, it is easy to accidentally resect them or destroy their blood supply during surgery for thyroid cancer with central neck dissection, leading to postoperative hypoparathyroidism that seriously affects the patient＇s quality of life. How to identify parathyroid injury and protect the parathyroid function are major problems of concern of thyroid surgeons. Routine parathyroid autotransplant for preventing hypoparathyroidism during central neck dissection is still controversial. Is the use of nano-carbon of significance for avoiding parathyroid injury？ Here, the authors address the above issues to provide reference on how to identify parathyroid injury and protect parathyroid function during central neck dissection.

关 键 词：甲状腺切除术 颈淋巴结清扫术 甲状旁腺/损伤 综述文献 

分 类 号：R653.2[医药卫生—外科学]