Henry J F, Denizot A, Audiffret J
Unité Chirurgie Endocrinienne, Centre Hospitalier Universitaire de la Timone, Marseille.
Ann Chir. 1990;44(5):378-81.
In a series of 301 bilateral thyroidectomies carried out over a 6 month period, immediate parathyroid autotransplantation was performed in 44 patients, i.e. 14.6%. Hypoparathyroidism was transient in 14 patients, i.e. 4.7% but was permanent in 4 patients, i.e. 1.3%. We attempted to determine the conditions justifying parathyroid autotransplantation during thyroidectomies. In our opinion parathyroid autotransplantation should be performed only to save a parathyroid gland accidentally removed or devascularized. It should not be used simply as a means of avoiding dissection no matter how long or tedious.
在6个月期间进行的301例双侧甲状腺切除术中，44例患者（即14.6%）进行了甲状旁腺即刻自体移植。14例患者（即4.7%）出现短暂性甲状旁腺功能减退，但4例患者（即1.3%）出现永久性甲状旁腺功能减退。我们试图确定在甲状腺切除术中进行甲状旁腺自体移植的合理条件。我们认为，甲状旁腺自体移植仅应用于挽救意外切除或血运障碍的甲状旁腺。无论手术时间多长或多繁琐，都不应将其单纯用作避免解剖的手段。
