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| 甲状腺全切术后甲状旁腺功能减退的防治体会 |
| Prevention and treatment of hypoparathyroidism after total thyroidectomy |
| 投稿时间：2016-02-21 |
| DOI：10.3969/j.issn.1000-0399.2016.09.016 |
| 中文关键词: 甲状腺切除术 甲状旁腺功能减退 低钙血症 |
| 英文关键词: Thyroidectomy Hypoparathyroidism HypacaIcaemia |
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| 中文摘要: |
| 目的 探讨甲状腺全切术后甲状旁腺功能减退的防治。方法 回顾性分析安徽省铜陵市人民医院2013年7月至2015年12月进行甲状腺全切手术的23例患者的病例资料。结果 23例患者术中辨认并原位保留上甲状旁腺共40个，上甲状旁腺均位于腺体背侧中上1/3区域，喉返神经入喉处上方、甲状软骨下角周围。术中原位保护下甲状旁腺共33枚，其中下动脉主干上方发现下甲状旁腺共18个，下方发现下甲状旁腺15个。结论 术中辨认及保护甲状旁腺血供是预防术后甲状旁腺功能减退的有效方法，术后补充钙剂可减少低钙血症的发生，利于甲状旁腺功能的恢复。 |
| 英文摘要: |
| Objective To investigate protect and treatment of parathyroid function after total thyroidectomy.Methods The clinical data of 23 patients undergoing total thyroidectomy from July 2013 to December 2015 were analyzed retrospectivel.Results Among 23 patients,40 superior parathyroid glands were protected in situ;all located at the level of inferior edge of thyroid cartilag,above the entrance of recurrent laryngeal nerve; 33 interior parathyroid glands were protected in situ,among those,18 glands located above Inferior thyroid artery,15 glands located in the inferior thyroid artory.Conclusion The most effective methods to prevent hypoparathyroidism is identification of parathyroid glands and protection of blood supply to glands;The postoperative suppliment of calcium can reduce hypacaIcaemia effectivelyrestore to parathyroid gland function. |
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