摘要
目的分析下位甲状旁腺的定位,阐述其临床意义。方法收集2019年7月~2020年7月在北京同仁医院头颈外科初次行甲状腺手术的患者93例。手术方式为甲状腺侧叶切除术或甲状腺全部切除术。术中准确辨认、仔细保护下位甲状旁腺,并对下位甲状旁腺的定位进行分型,统计各型的例数。结果93例患者共行甲状腺侧叶切除132侧,其中左侧叶切除70侧、右侧叶切除62侧;寻找并统计下位甲状旁腺,其中Ⅰ型15例、Ⅱ型48例、Ⅲ型48例、Ⅳ型6例、Ⅴ型15例。对39例甲状腺全部切除患者的双侧下位甲状旁腺定位分析发现,24例左右对称,15例左右不对称。结论下位甲状旁腺的定位以Ⅱ型和Ⅲ型为主,术中可以根据可能位置的概率有目的地寻找、辨认并保护下位甲状旁腺,减少甲状旁腺功能减低的发生。
Objective To analyze the location of the inferior parathyroid gland(IPTG)and to indicate its clinical significance in thyroidectomy.Methods Ninety-three cases of primary thyroidectomy samples were collected from July 2019 to July 2020.All patients accepted the treatment of lateral lobectomy or total thyroidectomy.The inferior parathyroid gland was carefully identified and protected during the surgery.Moreover,the type of the inferior parathyroid gland was classified and counted according to its location.Results Among these 93 patients,132 sides of thyroid lobe were resected,including 70 cases of left lobe resection and 62 cases of right lobe resection.Further,the inferior parathyroid glands were identified and counted:typeⅠ15 cases,typeⅡ48 cases,typeⅢ48 cases,typeⅣ6 cases and 15 cases of typeⅤ.Location analysis of the bilateral inferior parathyroid gland in 39 patients with total thyroidectomy showed that 24 cases were symmetrical and 15 cases were asymmetrical.Conclusions TypeⅡand typeⅢinferior parathyroids constitute the main part according to their locations.The identification and protection of the inferior parathyroids in accordance with their types will contribute to the reduction of hypoparathyroidism.
作者
曹琳
陈晓红
CAO Lin;CHEN Xiaohong(Department of Otolaryngology Head and Neck Surgery,Beijing Tongren Hospital,Affiliated with Capital Medical University,Beijing 100730,China;Department of Otolaryngology,the Affiliated Hospital of Qingdao University,Qingdao 266000,China)
出处
《中国眼耳鼻喉科杂志》
2022年第2期124-126,136,共4页
Chinese Journal of Ophthalmology and Otorhinolaryngology
