Fukui Sho, Endo Yoshifumi, Hirayama Kazuko, Taniyama Hiroyuki, Kadosawa Tsuyoshi
School of Veterinary Medicine, Rakuno Gakuen University, 582 Bunkyodai Midorimachi, Ebetsu, Hokkaido 069-8501, Japan.
J Vet Med Sci. 2015 Jun;77(6):747-51. doi: 10.1292/jvms.13-0488. Epub 2015 Feb 14.
Simultaneous removal of bilateral thyroid tumors was performed while preserving the parathyroid gland in six dogs. At least one external parathyroid gland was identified in all dogs. In five cases, the external parathyroid gland and its blood supply were preserved intact. In one dog, the vessels supplying the external parathyroid gland had been invaded by the tumor, and the gland was thus removed and reimplanted into the sternohyoid muscle. That dog required postoperative treatment with oral calcium gluconate and vitamin D3. Local tumor recurrence was not observed in any of the cases. The mean survival time was 920 days. We found that the external parathyroid gland could be identified and preserved in most dogs undergoing total thyroidectomy.
在六只犬中进行了双侧甲状腺肿瘤的同时切除,并保留甲状旁腺。所有犬均至少识别出一个外侧甲状旁腺。五例中,外侧甲状旁腺及其血供被完整保留。一只犬中,供应外侧甲状旁腺的血管被肿瘤侵犯,因此该腺体被切除并重新植入胸骨舌骨肌。该犬术后需要口服葡萄糖酸钙和维生素D3进行治疗。所有病例均未观察到局部肿瘤复发。平均生存时间为920天。我们发现,在大多数接受全甲状腺切除术的犬中,可以识别并保留外侧甲状旁腺。