Gouillat C, Bouchet A, Soustelle J
J Chir (Paris). 1979 Aug-Sep;116(8-9):505-12.
A parathyroid insufficiency, defined like a functional deficit sufficient to pull down calcemia underneath 75 mg/l and/or give clinical obvious disturbances of neuromuscular hyperexcitability, have been observed on 57 patients (2,7%). The risk as interested bilateral gestures (5,5%) with a maximum for total thyroïdectomies (17,7%), surgery for carcinoma (8,5%) and Basedow's illness (8,3%). Less than half the patients can stop their vitaminocalcical treatment, and before the sixth month. First prevention is respect of the frail glandules and their vascularisation, obliging a particular, precise and bloodness surgery. Finally the autotransplantation of parathyroid gland accidentally pulled off or deteriored seems to constitute an interesting contribution.
甲状旁腺功能减退定义为足以使血钙降至75mg/l以下和/或出现明显临床神经肌肉兴奋性增高紊乱的功能缺陷，在57例患者（2.7%）中观察到。双侧手术（5.5%）的风险最高，全甲状腺切除术（17.7%）、癌症手术（8.5%）和突眼性甲状腺肿（8.3%）的风险也较高。不到一半的患者可以在六个月前停止维生素钙治疗。首要预防措施是保护脆弱的腺体及其血管，这需要进行特殊、精确且无血的手术。最后，意外摘除或受损甲状旁腺的自体移植似乎是一项有意义的贡献。
