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甲状腺手术中意外切除甲状旁腺:危险因素和术后低钙血症。

Incidental extirpation of the parathyroid glands at thyroid surgery: risk factors and post-operative hypocalcemia.

机构信息

Department of General Surgery-Medical College, King Abdullah University Hospital, Jordan University of Science and Technology, PO Box 1592, Irbid, Jordan.

出版信息

Eur Arch Otorhinolaryngol. 2011 Jul;268(7):1047-51. doi: 10.1007/s00405-010-1413-x. Epub 2010 Dec 4.

DOI:10.1007/s00405-010-1413-x
PMID:21132322
Abstract

The objective of this study was to estimate the incidence of incidental extirpation of the parathyroid glands during thyroid operations, and to investigate possible risk factors and post-thyroidectomy complications using a descriptive design in a university hospital setting. Hospital records for all thyroidectomies performed in the period between 1st February 2004 and 31 January 2008 for Incidence of incidental extirpation of the parathyroid glands during thyroid operations and post-thyroidectomy hypocalcemia were reviewed. Results showed that incidental parathyroidectomy occurred in 8.6%. Most of the excised parathyroid tissues were extracapsular. Malignant thyroid disease was a risk factor. Extent of surgery, age and sex were not risk factors for incidental parathyroidectomy. Results also showed that incidental parathyroidectomy was associated with transient hypocalcemia.

摘要

本研究旨在评估甲状腺手术中甲状旁腺意外切除的发生率,并使用描述性设计在大学医院环境中研究可能的风险因素和甲状腺切除术后并发症。回顾了 2004 年 2 月 1 日至 2008 年 1 月 31 日期间所有甲状腺切除术的住院记录,以评估甲状腺手术中甲状旁腺意外切除的发生率和甲状腺切除术后低钙血症的情况。结果显示,意外甲状旁腺切除术的发生率为 8.6%。大多数切除的甲状旁腺组织位于包膜外。甲状腺恶性疾病是一个危险因素。手术范围、年龄和性别不是意外甲状旁腺切除术的危险因素。结果还表明,意外甲状旁腺切除术与短暂性低钙血症有关。

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Assessment of risk factors of incidental parathyroidectomy during thyroid surgery: a prospective study.评估甲状腺手术中甲状旁腺意外切除的风险因素:一项前瞻性研究。
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全甲状腺切除术后第一天甲状旁腺激素水平与永久性甲状旁腺功能减退症之间的相关性:我们的经验
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Risk factors and outcomes of incidental parathyroidectomy in thyroidectomy: A systematic review and meta-analysis.甲状腺切除术中意外甲状旁腺切除术的风险因素和结果:系统评价和荟萃分析。
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Hypocalcemia after thyroidectomy: iPTH levels and iPTH decline are predictive? Retrospective cohort study.甲状腺切除术后的低钙血症:甲状旁腺激素(iPTH)水平及iPTH下降具有预测性吗?一项回顾性队列研究。
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