Casella C, Talarico C, Di Fabio F, Bugari G, Iacobello C, Albertini A, Salerni B
Università degli Studi di Brescia, Divisione di 1a Chirurgia Generale, Spedali Civili.
Ann Ital Chir. 2004 Jan-Feb;75(1):23-7.
Transient and definitive hypoparathyroidism represent a frequent complication after thyroid surgery. Recently some authors proposed the use of intraoperative parathyroid hormone assay for the rapid detection of this complication. In this paper the authors describe the data obtained from 42 total thyroidectomies with intraoperative measurements of parathyroid hormone. When parathormone decrement was over 75% during thyroidectomy, the hypocalcemic symptomatology was found in all cases during postoperative observation. The authors emphasize intraoperative PTH dosage for immediate identification of patients at risk for postoperative hypoparathyroidism. In this cases parathyroid autotransplantation is suggested to prevent postoperative hypoparathyroidism.
暂时性和永久性甲状旁腺功能减退是甲状腺手术后常见的并发症。最近，一些作者提议使用术中甲状旁腺激素测定法来快速检测这一并发症。在本文中，作者描述了42例全甲状腺切除术中进行甲状旁腺激素术中测量所获得的数据。当甲状腺切除术中甲状旁腺激素下降超过75%时，术后观察期间所有病例均出现了低钙血症症状。作者强调术中甲状旁腺激素测定对于立即识别有术后甲状旁腺功能减退风险患者的作用。对于这些病例，建议进行甲状旁腺自体移植以预防术后甲状旁腺功能减退。
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