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[甲状腺手术中甲状旁腺的风险。甲状旁腺再植的价值。关于350例同类手术]

[Risk to the parathyroids in thyroid surgery. Value of parathyroid reimplantation. Apropos of a homogenous series of 350 operations].

作者信息

Paineau J, Hingrat J Y, Lehur P A, Visset J

出版信息

J Chir (Paris). 1984 Jan;121(1):25-32.

PMID:6715432
Abstract

Based on a series of 350 thyroidectomies, of which 214 were total or practically total, the risk of postoperative sequelae due to hypoparathyroidism was investigated. The frequency of this complication was particularly high (11.43 p. 100) during the immediate postoperative period, probably due to the amount of thyroid excised in this series. Long-term follow-up showed that only 15 patients (4.29 p. 100) were still being treated with vitamin D derivatives. Parathyroid reimplantation, whether "accidental" during simple thyroidectomy or "as a principle" in jugulocarotid and recurrent nerve gland curettage (25 cases) appears a valid method for avoiding long-term hypoparathyroidal sequelae.

摘要

基于350例甲状腺切除术的系列研究,其中214例为全切除或近乎全切除,对甲状旁腺功能减退导致的术后后遗症风险进行了调查。在术后即刻,这种并发症的发生率特别高(11.43%),这可能与本系列中切除的甲状腺量有关。长期随访显示,只有15例患者(4.29%)仍在接受维生素D衍生物治疗。甲状旁腺再植,无论是在单纯甲状腺切除术中“意外”发生,还是在颈总动脉和喉返神经腺体刮除术中“作为原则”进行(25例),似乎都是避免长期甲状旁腺功能减退后遗症的有效方法。

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