甲状旁腺损伤相关的临床解剖学研究与原因分析  

Clinical anatomy and cause analysis of parathyroid gland injury

作　　者：李启佳 程若川[1] 刘文[1] 刘彬[1] Li Qijia;Cheng Ruochuan;Liu Wen;Liu Bin(Center for Diagnosis and Treatment of Thyroid Disease,the First Affiliated Hospital of Kunming Medical University,Kunming 650032,China)

机构地区：[1]昆明医科大学第一附属医院甲状腺疾病诊治中心,650032

出　　处：《国际外科学杂志》2022年第2期140-144,共5页International Journal of Surgery

基　　金：国家自然科学基金(8216100483)。

摘　　要：随着甲状腺癌发病率的升高,随之开展的甲状腺手术也越来越多。甲状旁腺与甲状腺关系紧密复杂且位置多变、血供脆弱,其损伤所带来的甲状旁腺功能减退成为了术后常见并发症之一。甲状旁腺损伤或功能障碍的原因是多方面的,既有解剖学因素,包括形态、颜色、数量、位置和血供上的变异,也与术者操作技巧或能量器械的运用有关,而血供的破坏与组织的热损伤是主要原因。因此,熟练掌握甲状旁腺解剖位置与血供的分布规律、术中精细解剖防止甲状旁腺意外切除、合理运用能量器械防止甲状旁腺及血供的机械损伤和热损伤有利于增强甲状旁腺功能的保护,减少术后甲状旁腺功能减退的发生。With the increasing incidence of thyroid cancer,more and more thyroid operations are being performed.The relationship between parathyroid gland and thyroid gland is closed and complex,and parathyroid gland’s location is changeable and its blood supply is fragile.Hypoparathyroidism caused by the damage of parathyroid gland has become one of the common postoperative complications.The causes of injury or dysfunction of parathyroid gland are various,which are not only related to anatomical factors,including the variation in morphology,colour,quantity,location and blood supply,but also related to the operation skills of the surgeon or the use of energy devices,while the destruction of blood supply and tissue thermal damage are the main reasons.Therefore,expert mastery on the anatomical location of parathyroid gland and distribution of blood supply of parathyroid gland,careful anatomy during the operation to prevent accidental removal of parathyroid gland,rational use of energy devices to prevent mechanical damage of parathyroid gland and blood supply and thermal damage,is conducive to improving protection of parathyroid function and can reduce the occurrence of postoperative hypoparathyroidism.

关 键 词：甲状旁腺 解剖学 甲状旁腺功能减退症 综述 

分 类 号：R736.1[医药卫生—肿瘤]