Maralcan Gökürk, Sayin Zekeriya, Başkonu Ilyas, Gökalp Avni, Aybasti Necdet
Department of General Surgery, Faculty of Medicine, Gaziantep University, Gaziantep, Turkey.
Int Surg. 2006 Jul-Aug;91(4):211-6.
This study was designed to investigate the effect of truncal ligation of the inferior thyroid arteries on post-thyroidectomy serum calcium levels. This prospective, randomized study was carried out in 98 patients. In group 1, bilateral inferior thyroid arteries were ligated truncally during bilateral subtotal thyroidectomy procedure, whereas in group 2, ligation was not performed. In all patients, serum ionized calcium levels were measured preoperatively and on postoperative days 1, 2, 3 and 30. There were no statistically significant differences in serum ionized calcium values between group 1 and 2 on postoperative days 1, 2, 3, and 30 (P > 0.05). Laboratory hypocalcemia was found on postoperative days 1, 2, and 3 in 9 (9.2%), 15 (15.3%), and 2 (2.0%) patients, respectively. In all patients, laboratory hypocalcemia improved until postoperative day 5. It was thought that truncal ligation of the inferior thyroid arteries during bilateral subtotal thyroidectomy had no effect on post-thyroidectomy serum calcium levels.
本研究旨在探讨甲状腺下动脉主干结扎对甲状腺切除术后血清钙水平的影响。这项前瞻性随机研究共纳入98例患者。第1组在双侧甲状腺次全切除术中对双侧甲状腺下动脉进行主干结扎，而第2组未进行结扎。所有患者在术前以及术后第1、2、3和30天测量血清离子钙水平。术后第1、2、3和30天，第1组和第2组的血清离子钙值无统计学显著差异（P>0.05）。分别有9例（9.2%）、15例（15.3%）和2例（2.0%）患者在术后第1、2和3天出现实验室低钙血症。所有患者的实验室低钙血症在术后第5天前均有所改善。研究认为，双侧甲状腺次全切除术中甲状腺下动脉主干结扎对甲状腺切除术后血清钙水平无影响。
