甲状腺癌二次中央区手术中甲状旁腺的意外切除和甲状旁腺功能减退。
Unintentional parathyroidectomy and hypoparathyroidism in secondary central compartment surgery for thyroid cancer.
机构信息
Division of Otolaryngology - Head and Neck Surgery, Department of Surgery, Penn State Hershey Medical Center, University School of Medicine, 500 University Drive, MCH091, Hershey, PA 17033-0850, USA.
出版信息
Head Neck. 2010 Apr;32(4):462-6. doi: 10.1002/hed.21205.
BACKGROUND
Unintentional parathyroidectomy is a complication of thyroid surgery. To our knowledge, no study has specifically examined the incidence of inadvertent parathyroidectomy exclusively in patients undergoing secondary central compartment surgery for recurrent or persistent thyroid cancer.
METHODS
The records of 40 patients who underwent 42 secondary central compartment surgeries for thyroid cancer were reviewed to determine the incidence of inadvertent parathyroidectomy.
RESULTS
Parathyroid tissue was present on permanent pathology in 31% of SCCSs. Unintentional parathyroidectomy did not have an effect on hypoparathyroidism. Concomitant lateral neck dissection did not have an effect on the incidence of hypoparathyroidism, but did have a statistically significant effect on inadvertent parathyroidectomy.
CONCLUSION
Accidental resection of parathyroid tissue is relatively common in secondary central compartment surgery compared with primary thyroid surgery, but does not appear to correlate with postoperative hypoparathyroidism.
背景
甲状旁腺意外切除是甲状腺手术的一种并发症。据我们所知，尚无研究专门针对复发性或持续性甲状腺癌患者行二次中央区手术时甲状旁腺意外切除的发生率进行研究。
方法
回顾了 40 例因甲状腺癌行 42 例二次中央区手术的患者的记录，以确定甲状旁腺意外切除的发生率。
结果
31%的 SCCSs 永久性病理检查中存在甲状旁腺组织。甲状旁腺意外切除与甲状旁腺功能减退症无关。同期行侧颈部清扫术并不影响甲状旁腺功能减退症的发生率，但对甲状旁腺意外切除有统计学显著影响。
结论
与原发性甲状腺手术相比，二次中央区手术中甲状旁腺组织的意外切除相对常见，但似乎与术后甲状旁腺功能减退症无关。
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