Nawrot I, Zajac S, Grzesiuk W, Pietrasik K, Karwacki J, Tołłoczko T
Department of Vascular Surgery and Transplantology, Medical University, Warsaw, ul. Banacha 1a, 02-097 Warsaw, Poland.
Med Sci Monit. 2000 May-Jun;6(3):564-6.
One of the postoperative complications after strumectomy is hypoparathyroidism. Therefore, the purpose of our study was to evaluate the effect of the surgical technique on the development of parathyroid gland insufficiency in our group of patients. Subtotal, bilateral strumectomies were performed according to Rothmund's suggestions. Randomized controlled trial was performed in two groups. In the first group of 19 patients, main trunk of the inferior thyroid artery was ligated and in the second one consisting of 18 patients, only the branches of this artery were ligated. Total calcium and PTH levels were evaluated pre- and postoperatively. Based on the biochemical and clinical data, no statistically significant differences in the development of postoperative hypoparathyroidism in relation to performed surgical techniques were observed.
甲状腺切除术后的并发症之一是甲状旁腺功能减退。因此，我们研究的目的是评估手术技术对我们这组患者甲状旁腺功能不全发生情况的影响。根据罗斯蒙德的建议进行双侧甲状腺次全切除术。对两组患者进行随机对照试验。第一组19例患者，结扎甲状腺下动脉主干；第二组18例患者，仅结扎该动脉的分支。术前和术后评估总钙和甲状旁腺激素水平。根据生化和临床数据，未观察到与所采用手术技术相关的术后甲状旁腺功能减退发生情况存在统计学显著差异。
