中国实用外科杂志2017，Vol.37Issue(9)：1028-1031,4.DOI:10.19538/j.cjps.issn1005-2208.2017.09.21
甲状腺癌术中甲状旁腺误切危险因素分析
Analysis of the risk factors of incidental parathyroidectomy during thyroid cancer surgery
王兴 1朱一鸣 1黄辉 1张李鹏 1张烨 1王晓雷1
作者信息
- 1. 国家癌症中心中国医学科学院北京协和医学院肿瘤医院头颈外科,北京100021
- 折叠
摘要
Abstract
Objective To analyze the risk factors of parathyroidectomy during thyroid cancer surgery.Methods The clinical data of 1047 patients with newly discovered papillary thyroid carcinoma who underwent surgery in Department of Head and Neck Surgery,Cancer Hospital,Chinese Academy of Medical Sciences and Peking Union Medical College from October 1,2014 to October 1,2015 were analyzed retrospectively.All patients were divided into two groups according to postoperative pathology whether parathyroid gland exists and the various factors were compared between two groups.Additionally,parathyroidectomy rate among the different locations were also compared according to whether to use the nano-carbon.Results The overall parathyroidectomy rate was 18.9％.Univariate analysis showed that patients with the features of males,invasion of the capsule,neck lymph node dissection had a higher rate of incidental parathyroidectomy,and the difference was significant statistically.Multivariate analysis showed that males and invasion of the capsule were independent risk factors for incidental parathyroidectomy.In the comparison of incidental parathyroidectomy locations,it demonstrated that nano-carbon had protective effect on the parathyroid glands located in intrathyroid or juxtathyroid and central location,but the difference was statistically significant only in the former.Conclusion Males,invasion of the capsule,neck lymph node dissection are the risk factors of incidental parathyroidectomy.The application of nano-carbon has a better protective effect on parathyroid glands which are located in intrathyroid or juxtathyroid.关键词
甲状腺癌/甲状旁腺/误切/纳米碳Key words
thyroid carcinoma/parathyroid/incidental resection/nano-carbon分类
医药卫生引用本文复制引用
王兴,朱一鸣,黄辉,张李鹏,张烨,王晓雷..甲状腺癌术中甲状旁腺误切危险因素分析[J].中国实用外科杂志,2017,37(9):1028-1031,4.
