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甲状腺切除术后甲状旁腺功能减退症:一种临床手术困境。

Post-thyroidectomy hypoparathyroidism: A clinical surgical dilemma.

作者信息

Alqahtani Saad M

机构信息

From the Department of Surgery, College of Medicine, Majmaah University, Al Majmaah, Kingdom of Saudi Arabia.

出版信息

Saudi Med J. 2024 Dec;45(12):1305-1311. doi: 10.15537/smj.2024.45.12.20240743.

Abstract

Thyroid dysfunction directly affects human health and overall well-being; various approaches are available for the treatment of thyroid diseases, including conservative measures and surgical interventions. Despite advancements in conservative treatment, surgery remains the preferred option. Hypoparathyroidism is the primary cause of hospitalization after thyroidectomy, leading to cost-related concerns and a detrimental impact on patients' overall quality of life. Postoperative hypoparathyroidism can result in hypocalcemia, and these are challenging conditions that must be identified promptly to prevent immediate and long-term complications. This article focused on the presentation, risk factors, and management of hypoparathyroidism to increase awareness of the risks associated with certain variables, thereby enhancing our ability to predict the risk of this condition. Furthermore, this review highlighted the surgical techniques that may be utilized to prevent hypoparathyroidism. These considerations can help guide preoperative discussions regarding the benefits and potential risks of thyroidectomy.

摘要

甲状腺功能障碍直接影响人类健康和整体幸福感;治疗甲状腺疾病有多种方法,包括保守措施和手术干预。尽管保守治疗有了进展,但手术仍是首选方案。甲状旁腺功能减退是甲状腺切除术后住院的主要原因,导致与费用相关的担忧,并对患者的整体生活质量产生不利影响。术后甲状旁腺功能减退可导致低钙血症,这些都是具有挑战性的情况,必须及时识别以预防即刻和长期并发症。本文重点关注甲状旁腺功能减退的表现、危险因素和管理,以提高对某些变量相关风险的认识,从而增强我们预测这种情况风险的能力。此外,本综述强调了可用于预防甲状旁腺功能减退的手术技术。这些考虑因素有助于指导关于甲状腺切除术的益处和潜在风险的术前讨论。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1564/11629639/3a81dab5f40d/smj-45-12-1305_1.jpg

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