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[甲状腺手术与血钙之间的关系]

[The relationship between thyroid surgical operations and blood calcium].

作者信息

Sussi P L, Rossi F A, Paini G, Iseppi P, Radin S, Petronio R

出版信息

Chir Ital. 1980 Dec;32(6):1571-80.

PMID:6894718
Abstract

The behaviour of calcemia was studied in a group of patients subjected to surgical operation of varying extent on the thyroid (enucleoresection, hemithyroidectomy, subtotal and total thyroidectomy). Average calcaemia was found to be diminished in all groups of operated cases, in relation to the extent of the operation. Surgery interferes by significantly modifying the variability of calcaemia in the different groups. The frequency of cases with pre-operative calcaemia higher than the average and retaining a postoperative level higher than the minimum of the controls is roughly inversely proportional to the extent of the surgery. A comparison between calcaemia after subtotal thyroidectomy for nodular struma and for Graves' disease did not evidence any statistically significant differences.

摘要

对一组接受不同程度甲状腺手术(摘除术、半甲状腺切除术、次全甲状腺切除术和全甲状腺切除术)的患者的血钙行为进行了研究。发现所有手术病例组的平均血钙水平均降低,且与手术范围有关。手术通过显著改变不同组中血钙的变异性而产生影响。术前血钙高于平均水平且术后水平高于对照组最低值的病例频率大致与手术范围成反比。对结节性甲状腺肿和格雷夫斯病行次全甲状腺切除术后的血钙进行比较,未发现任何具有统计学意义的差异。

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