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as an important differential diagnosis in patients suffering from stridor following thyroidectomy.作为甲状腺切除术后出现喘鸣患者的重要鉴别诊断。
Clin Case Rep. 2020 Nov 19;9(1):470-472. doi: 10.1002/ccr3.3559. eCollection 2021 Jan.
2
Hypoparathyroidism After Total Thyroidectomy: Importance of the Intraoperative Management of the Parathyroid Glands.甲状腺全切除术后甲状旁腺功能减退症：甲状旁腺术中管理的重要性。
World J Surg. 2019 Jul;43(7):1728-1735. doi: 10.1007/s00268-019-04987-z.
3
Prevention of hypocalcemia and hypoparathyroidism after total thyroidectomy. Recommendations of the Francophone Association of Endocrine Surgery (AFCE) with the French Society of Endocrinology (SFE) and the French Society of Nuclear Medicine (SFMN).预防全甲状腺切除术后低钙血症和甲状旁腺功能减退症。法语国家内分泌外科学会（AFCE）联合法国内分泌学会（SFE）和法国核医学学会（SFMN）的建议。
J Visc Surg. 2023 Jun;160(3S):S95-S109. doi: 10.1016/j.jviscsurg.2023.05.004. Epub 2023 May 19.
4
Indocyanine Green Angiography of Parathyroid Glands versus Intraoperative Parathyroid Hormone Assay as a Reliable Predictor for Post Thyroidectomy Transient Hypocalcemia.甲状旁腺吲哚菁绿血管造影与术中甲状旁腺激素测定作为甲状腺切除术后短暂性低钙血症可靠预测指标的比较。
J Invest Surg. 2022 Jul;35(7):1484-1491. doi: 10.1080/08941939.2022.2066229. Epub 2022 Apr 21.
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Hypoparathyroidism after thyroidectomy: prevention, assessment and management.甲状腺切除术后甲状旁腺功能减退症：预防、评估与管理。
Curr Opin Otolaryngol Head Neck Surg. 2017 Apr;25(2):142-146. doi: 10.1097/MOO.0000000000000346.
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Normal parathyroid hormone levels do not exclude permanent hypoparathyroidism after thyroidectomy.正常甲状旁腺激素水平不能排除甲状腺切除术后永久性甲状旁腺功能减退症。
Thyroid. 2011 Feb;21(2):145-50. doi: 10.1089/thy.2010.0067. Epub 2010 Dec 29.
7
Assessing Intraoperative Laser Speckle Contrast Imaging of Parathyroid Glands in Relation to Total Thyroidectomy Patient Outcomes.评估甲状旁腺术中激光散斑对比成像与全甲状腺切除术患者结局的关系。
Thyroid. 2021 Oct;31(10):1558-1565. doi: 10.1089/thy.2021.0093. Epub 2021 Aug 18.
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Postoperative Hypoparathyroidism After Total Thyroidectomy in Children.儿童全甲状腺切除术后的甲状旁腺功能减退症
J Surg Res. 2020 Aug;252:63-68. doi: 10.1016/j.jss.2020.02.018. Epub 2020 Mar 29.
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[Complications in thyroid surgery: symptomatic post-operative hypoparathyroidism incidence, surgical technique, and treatment].[甲状腺手术并发症：症状性术后甲状旁腺功能减退症的发生率、手术技术及治疗]
Ann Ital Chir. 2006 Mar-Apr;77(2):115-22.
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Applicability of intraoperative parathyroid hormone assay during total thyroidectomy as a guide for the surgeon to selective parathyroid tissue autotransplantation.全甲状腺切除术中甲状旁腺激素测定作为外科医生进行选择性甲状旁腺组织自体移植指导的适用性。
World J Surg. 2008 May;32(5):822-8. doi: 10.1007/s00268-007-9405-8.

引用本文的文献

1
Case report: Laryngospasm following ethanol ablation of a parathyroid nodule in a dog with primary hyperparathyroidism.病例报告：原发性甲状旁腺功能亢进犬甲状旁腺结节乙醇消融术后发生喉痉挛。
Front Vet Sci. 2023 Jun 15;10:1201663. doi: 10.3389/fvets.2023.1201663. eCollection 2023.

本文引用的文献

1
A comparison of the quantitative evaluation of in situ parathyroid gland perfusion by indocyanine green fluorescence angiography and by visual examination in thyroid surgery.甲状腺手术中通过吲哚菁绿荧光血管造影术和视觉检查对原位甲状旁腺灌注进行定量评估的比较。
Arch Endocrinol Metab. 2020 Aug;64(4):427-435. doi: 10.20945/2359-3997000000219. Epub 2020 Apr 6.
2
Membranous nephropathy associated with profound hypothyroidism.与严重甲状腺功能减退相关的膜性肾病。
Clin Case Rep. 2019 Dec 4;8(1):120-122. doi: 10.1002/ccr3.2573. eCollection 2020 Jan.
3
Population-Based Incidence of Potentially Life-Threatening Complications of Hypocalcemia and the Role of Vitamin D Deficiency.基于人群的低钙血症潜在危及生命并发症的发生率和维生素 D 缺乏的作用。
J Pediatr. 2019 Aug;211:98-104.e4. doi: 10.1016/j.jpeds.2019.02.018. Epub 2019 Apr 4.
4
Clinical Presentation of Hypoparathyroidism.甲状旁腺功能减退症的临床表现。
Front Horm Res. 2019;51:139-146. doi: 10.1159/000491044. Epub 2018 Nov 19.
5
[Postoperative acute laryngeal spasm in 1 cases of thyroid cancer].[1例甲状腺癌术后急性喉痉挛]
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2016 Mar 20;30(6):503-504. doi: 10.13201/j.issn.1001-1781.2016.06.025.
6
Indocyanine green fluorescence angiography for quantitative evaluation of in situ parathyroid gland perfusion and function after total thyroidectomy.吲哚菁绿荧光血管造影术用于定量评估全甲状腺切除术后原位甲状旁腺的灌注和功能
Surgery. 2017 Jan;161(1):87-95. doi: 10.1016/j.surg.2016.03.037. Epub 2016 Nov 10.
7
Postsurgical Hypoparathyroidism: A Systematic Review.术后甲状旁腺功能减退症：一项系统评价
In Vivo. 2016 May-Jun;30(3):171-9.
8
Acute dyspnea caused by hypocalcemia-related laryngospasm.低钙血症相关喉痉挛引起的急性呼吸困难。
J Emerg Med. 2015 Jan;48(1):29-30. doi: 10.1016/j.jemermed.2014.09.034. Epub 2014 Nov 1.
9
A delayed diagnosis: stridor secondary to hypocalcemia.延迟诊断：低钙血症继发喘鸣
Int J Emerg Med. 2010 Oct 23;3(4):461-2. doi: 10.1007/s12245-010-0228-2.
10
Analysis of safety of short-stay thyroid surgery.短期甲状腺手术安全性分析。
Acta Otorhinolaryngol Ital. 2009 Dec;29(6):326-30.

作为甲状腺切除术后出现喘鸣患者的重要鉴别诊断。

as an important differential diagnosis in patients suffering from stridor following thyroidectomy.

作者信息

Nitschke Christine, Ghadban Tarek, Izbicki Jakob, Grotelüschen Rainer

机构信息

Department of General, Visceral and Thoracic Surgery University Medical Center Hamburg-Eppendorf Hamburg Germany.

出版信息

Clin Case Rep. 2020 Nov 19;9(1):470-472. doi: 10.1002/ccr3.3559. eCollection 2021 Jan.

DOI:10.1002/ccr3.3559
PMID:33505693
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7813116/
Abstract

It is essential to consider hypocalcemia as a cause of stridor, especially following postoperative thyroidectomy, as hypocalcemia secondary to hypoparathyroidism is an important differential diagnosis. Advances in intraoperative technology to optimize the vascularization of the parathyroid glands can help to predict and prevent patients from a postoperative hypoparathyroidism.

摘要

必须将低钙血症视为喘鸣的一个原因，尤其是在甲状腺切除术后，因为甲状旁腺功能减退继发的低钙血症是一个重要的鉴别诊断。优化甲状旁腺血管化的术中技术进展有助于预测和预防患者术后甲状旁腺功能减退。