中国全科医学Issue(29)：3579-3581,3.DOI:10.3969/j.issn.1007-9572.2015.29.018
甲状腺癌行甲状腺全切除术后甲状旁腺激素水平变化的影响因素分析
Influencing Factors of the Change of the Parathyroid Hormone Level After Total Thyroidectomy for Thyroid Carcinoma
晏龙强 1李富新 2章帅 2王义增 2何向辉2
作者信息
- 1. 554300 贵州省铜仁市，铜仁职业技术学院医学院
- 2. 天津医科大学总医院普外科 天津医科大学总医院普通外科研究所
- 折叠
摘要
Abstract
Objective To monitor the change of parathyroid hormone(PTH)level after total thyroidectomy(TT)for thyroid carcinoma,to analysis the influencing factors for function of the parathyroid decline. Methods We enrolled 113 patients with thyroid carcinoma who received TT in the General Hospital of Tianjin Medical University from November 2013 to October 2014. Before surgery and within 24 hours after surgery,patients' serum PTH was monitored. And we analyzed the influence of gender,age,the operation mode,the retaining method of parathyroid, thyroid carcinoma complicated with hashimoto thyroiditis and the use of ultrasound knife on postoperative serum PTH. Results According to postoperative serum PTH,the patients were divided into normal PTH group(n = 59),low PTH group(n = 47)and high PTH group(n = 7). The three groups were not significantly different(P ﹥ 0. 05)in gender,age and the use of ultrasound knife. The three groups were significantly different(P ﹤ 0. 05)in the scope of surgery,the retaining method of parathyroid and thyroid carcinoma complicated with hashimoto thyroiditis. There were 66 patients(58. 4% )who had temporal hypocalcemia after surgery,and no patients had permanent hypocalcemia after a month' s follow - up. Conclusion Cervical lymph node dissection and the retaining of parathyroid at in - situ are two major influencing factors for parathyroid function. During lymph node dissection,separation should be made carefully,and more than two parathyroid glands should be preserved at in - situ or transplanted for preservation. More attention should be given to patients complicated with hashimoto thyroiditis,in order to eliminate the deterioration of parathyroid function.关键词
甲状腺肿瘤/甲状腺切除术/甲状旁腺激素Key words
Thyroid neoplasms/Thyroidectomy/Parathyroid hormone分类
医药卫生引用本文复制引用
晏龙强,李富新,章帅,王义增,何向辉..甲状腺癌行甲状腺全切除术后甲状旁腺激素水平变化的影响因素分析[J].中国全科医学,2015,(29):3579-3581,3.
