甲状腺手术围手术期继发性甲状旁腺功能减退的紧急处理及预后分析

Urgent treatment and prognostic analysis of the secondary hypoparathyroidism during the perioperative period of thyroid surgery

目的探讨甲状腺手术围手术期继发性甲状旁腺功能减退致急性低血钙的紧急处理方法,并分析其预后。方法回顾性分析83例伴有围手术期继发性甲状旁腺功能减退的病例资料,总结其适当的紧急处理方法,并对预后进行追踪随访。结果暂时性甲状旁腺功能减退80例,永久性甲状旁腺功能减退3例；Vit D制剂和足量的元素钙可以有效地控制急性低血钙。结论围手术期继发性甲状旁腺功能减退绝大多数为暂时性,永久性甲状旁腺功能减退仅占极少数；围手术期继发性甲状旁腺功能减退的预后受多因素影响。

Objective To explore the urgent treatment and prognostic analysis of the secondary hypoparathyroidism led to low serum calcium during the perioperative period of thyroid surgery. Method To retrospectively analyse 83 patients with secondary hypoparathyroidism during the perioperative period of thyroid surgery and to summarize the appropriate method of urgent treatment. Results The number of temporary hypoparathyroidisms was 80. Permanent hypoparathyroidisms was 3. Calcium supplement combined with Vitamin D could effectively control low serum calcium. Conclusion Most of secondary hypoparathyroidism during the perioperative period of thyroid surgery are temporary, permanent hypoparathyroidism are minority. The prognosis of hypoparathyroidism during the perioperative period of thyroid surgery is affected by many factors.