甲状腺术后甲状旁腺功能减退定义的思考和建议  

Thoughts and suggestions on the definition of hypoparathyroidism after thyroidectomy

作　　者：董治中 程若川[1] DONG Zhizhong;CHENG Ruochuan(Center for Diagnosis and Treatment of Thyroid Disease,the First Affiliated Hospital of Kunming Medical University,Kunming 650032,P.R.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,昆明650032

出　　处：《中国普外基础与临床杂志》2024年第11期1281-1285,共5页Chinese Journal of Bases and Clinics In General Surgery

基　　金：国家自然科学基金(项目编号:82160462);云南省高层次人才培养支持计划“名医专项”(项目编号:RLCRC20210412);云南省内分泌代谢疾病临床医学中心专项资金子课题(项目编号:YWLCYXZXXYS20221005)。

摘　　要：甲状腺功能减退是甲状腺外科领域关注的焦点之一,但甲状腺术后甲状旁腺功能减退一直是外科医师无法回避的并发症。目前术后甲状旁腺功能减退的定义和分型尚存在争议,不同研究的永久性甲状旁腺功能减退定义和发生率差距较大。笔者结合相关指南、文献以及临床经验对甲状旁腺功能减退的诊断依据以及相关定义进行初步地建议和构想,以期为术后甲状旁腺减退的处理提供更为精准的诊治方案。Hypothyroidism is one of the focuses of attention in the field of thyroid surgery,but postoperative hypoparathyroidism has always been an unavoidable complication for surgeons.Currently,there is still controversy over the definition and classification of postoperative hypoparathyroidism,and there are significant differences in the definition and incidence of permanent hypoparathyroidism among different studies.The author provides preliminary suggestions and ideas for the diagnosis and definition of hypoparathyroidism based on relevant guidelines,literature,and clinical experience,in order to provide more accurate diagnosis and treatment plans for postoperative hypoparathyroidism.

关 键 词：甲状旁腺功能减退 定义 甲状腺切除术 

分 类 号：R653[医药卫生—外科学] R582.2[医药卫生—临床医学]