全甲状腺切除术中使用传统技术与谐波聚焦技术后的甲状旁腺激素水平：前瞻性随机研究。
Parathyroid hormone level after total thyroidectomy using conventional versus harmonic focus technique: Prospective randomized study.
作者信息
Elhady Hany Abdelfatah, Abd Elghany Rasha Abd Elaziz, Zarad Mohammed Shehata
机构信息
Department of Surgery, College of Medicine for Girls, Al-Azhar University, Egypt.
出版信息
Ann Med Surg (Lond). 2021 Dec 14;73:103176. doi: 10.1016/j.amsu.2021.103176. eCollection 2022 Jan.
BACKGROUND
Total thyroidectomy is a common procedure, we wish to examine the effects of utilizing a harmonic scalpel with traditional procedures on parathyroid hormone levels.
PATIENTS AND METHODS
100 patients who underwent total thyroidectomy at the Department of General Surgery, were enrolled in this prospective randomized study, were randomly allocated into two equal groups: Group I: total thyroidectomy using a harmonic scalpel (HS) and Group II: total thyroidectomy using conventional technique.
RESULTS
There is a significant association between the technique of surgery and the decrease in Postoperative PTH, Mean Difference, Pre and Postoperative and the change Pre PTH (p-value <0.001).
CONCLUSION
The postoperative serum level of parathyroid hormone declined significantly after thyroidectomy if the conventional method was used. Using HS during thyroidectomy is safe and effective with low rates of hypoparathyroidism.
背景
全甲状腺切除术是一种常见的手术，我们希望研究在传统手术中使用超声刀对甲状旁腺激素水平的影响。
患者与方法
100例在普通外科接受全甲状腺切除术的患者纳入了这项前瞻性随机研究，被随机分为两组，每组人数相等：第一组：使用超声刀（HS）进行全甲状腺切除术；第二组：使用传统技术进行全甲状腺切除术。
结果
手术技术与术后甲状旁腺激素（PTH）降低、平均差异、术前和术后以及术前PTH变化之间存在显著关联（p值<0.001）。
结论
如果采用传统方法，甲状腺切除术后甲状旁腺激素的术后血清水平会显著下降。甲状腺切除术中使用超声刀安全有效，甲状旁腺功能减退发生率低。
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