Cakmakli S, Aydintug S, Erdem E
Department of General Surgery, Faculty of Medicine, University of Ankara, Turkey.
Int Surg. 1992 Oct-Dec;77(4):284-6.
To assess the possible role of truncal ligation of inferior thyroid arteries on post-thyroidectomy hypocalcemia, a prospective study was carried out on 80 patients. Bilateral subtotal thyroidectomy was performed for non-toxic nodular goiter in two groups. Inferior thyroid arteries were ligated bilaterally in 50 patients but not ligated in 30 patients. In both groups mean serum calcium levels on the first and second postoperative days were found to be significantly lower than preoperative levels. However these falls were similar in both groups. We conclude that bilateral truncal ligation of inferior thyroid arteries is not a factor that may cause hypocalcemia due to vascular insufficiency of parathyroid glands.
为评估甲状腺下动脉主干结扎术在甲状腺切除术后低钙血症中可能的作用，对80例患者进行了一项前瞻性研究。两组均因非毒性结节性甲状腺肿行双侧甲状腺次全切除术。50例患者双侧结扎甲状腺下动脉，30例患者未结扎。两组术后第1天和第2天的平均血清钙水平均显著低于术前水平。然而，两组的下降情况相似。我们得出结论，双侧甲状腺下动脉主干结扎术并非因甲状旁腺血管功能不全导致低钙血症的一个因素。
