全甲状腺切除手术中甲状旁腺损伤的防治

Prevention and treatment of parathyroid injury during total thyroidectomy

目的:探讨全甲状腺切除手术中对甲状旁腺损伤的预防及治疗方法。方法:回顾性分析全甲状腺切除手术患者120例的临床诊治资料。结果:8例出现低血钙表现(6.67%),6例为甲状旁腺暂时损伤(5%)。2例为永久性甲状旁腺功能减退。结论:原位保留甲状旁腺、准确辨认甲状旁腺、保护甲状旁腺血供能降低全甲状腺切除手术中甲状旁腺的损伤概率。钙剂与维生素D治疗甲状旁腺功能减退效果较好。

Objective:To investigate the prevention and treatment of parathyroid injury during total thyroidectomy.Methods:The clinical data of 120 cases of patients undergoing total thyroidectomy were analyzed retrospectively.Results:8cases had hypocalcemia(6.67%),and 6 cases had temporarily parathyroid injury(5%).2cases had persistent hypoparathyroidism.Conclusion:Preservation of the parathyroid in situ,accurate identification of the parathyroid and protection of the blood supply of the parathyroid can reduce the risk of parathyroid injury during total thyroidectomy.Calcium and vitamin D were effective in the treatment of hypoparathyroidism.