甲状腺癌再手术中甲状旁腺损伤的危险因素及功能保护措施分析

Analysis of risk factors and functional protective measures of parathyroid gland injury during thyroid cancer reoperation

目的探究甲状腺癌再手术中甲状旁腺损伤的危险因素及功能保护措施。方法选取2017年8月至2020年8月本院收治的80例甲状腺癌再手术患者为研究对象,以甲状旁腺是否损伤分为两组,各40例。观察组为甲状旁腺损伤,对照组为甲状旁腺未损伤,比较两组临床资料,总结相关危险因素,并制定针对性功能保护措施。结果单因素分析结果显示,观察组原切口入路率、Ⅵ区淋巴结清扫占比均明显高于对照组,差异有统计学意义(P<0.05)。Logistic回归分析显示,原切口入路、行Ⅵ区淋巴结清扫均是甲状腺癌再手术中甲状旁腺损伤的独立危险因素。结论手术入路、Ⅵ区淋巴结清扫均是甲状腺癌再手术中甲状旁腺损伤的危险因素,为保护甲状旁腺功能,再手术中需综合评估、合理操作,减少损伤。

Objective To explore the risk factors and functional protective measures of parathyroid gland injury during thyroid cancer reopera-tion.Methods 80 patients with thyroid cancer reoperation from August 2017 to August 2020 treated in our hospital were selected as the research sub-jects,and they were divided into two groups on the basis of parathyroid injury or not grouping,with 40 cases in each group.The observation group was with parathyroid injury,and the control group was not with parathyroid injury.Two groups of clinical data was compared,the related risk factors were summarized,and specific protection function was formulated.Results The single factor analysis results show,the original incision into the road line rate and the lymph nodeⅥarea ratio in observation group was significantly higher than those in the control group,the difference was statistically significant(P<0.05).Logistic regression analysis results show,the original incision into the road line,the lymph nodeⅥarea wereindependent risk factors.Conclusion The surgical approach and the lymph nodeⅥarea is thyroid cancer and then parathyroid injury risk factors in the operation,in order to protect the parathyroid function,again to comprehensive evaluation,the reasonable operation in the operation,reduce the damage.