Ronga G, Fragasso G, Fiorentino A, Paserio E, Todino V, Tummarello M A
Clinica Medica II, Reparto di Medicina Nucleare, Università La Sapienza, Roma.
Ital J Surg Sci. 1988;18(2):151-4.
In 1037 patients undergoing total (827 cases) or partial thyroidectomy (52 cases of subtotal thyroidectomy, 108 of hemithyroidectomy, 50 of enucleation and resection) for each study group the incidence of hypoparathyroidism, its possible causes and technical factors favouring the onset, were examined. In this series postoperative prevalence of hypoparathyroidism was 16.6%. It seems to be directly proportional to the extent of surgery thus confirming the necessity to locate and preserve the parathyroid glands during surgery. This should be as conservative as possible according to the prognosis of the thyroid disease.
在每个研究组中,对1037例行全甲状腺切除术(827例)或部分甲状腺切除术(52例次全甲状腺切除术、108例半甲状腺切除术、50例摘除术和切除术)的患者,检查甲状旁腺功能减退症的发生率、其可能的病因以及促发疾病发生的技术因素。在该系列研究中,甲状旁腺功能减退症的术后患病率为16.6%。它似乎与手术范围成正比,从而证实了在手术过程中定位和保留甲状旁腺的必要性。根据甲状腺疾病的预后,手术应尽可能保守。