甲状腺手术中甲状旁腺原位显露及保护技术的应用体会

Clinical experience of protection of parathyroid in the thyroid operation

目的探讨直视下甲状旁腺的原位显露及保护技术在甲状腺手术中的临床应用。方法回顾分析2013年4月至2015年10月安徽医科大学第三附属医院117例甲状腺疾病手术患者的临床资料,对手术方式及甲状旁腺术后损伤进行分析总结。结果术后出现暂时性甲状旁腺功能减退3例(2.56%),经积极处理后恢复正常。结论充分的术前准备,合适的手术方式,术中的精细操作及术后并发症管理,能够有效较少甲状旁腺损伤的发生。

Objective To investigate the protection methods of parathyroid in the thyroid operation. Methods The clinical data of117 patients with thyroid operation in this hospital from April 2013 to October 2015 were analyzed retrospectively,and the parathyroid damage was summarize. Results : In all cases,three patients had temporary decrease of parathyroid hormone( 2. 56%). Conclusion Adequate preoperative preparation,proper operation mode,precise operation and management of postoperative complications can effectively reduce the incidence of injury.