Cannoni M, Pech A, Tiziano J P, Thomassin J M, Goubert J L, Zanaret M, Abdul S
Ann Otolaryngol Chir Cervicofac. 1982;99(6):237-44.
The authors report their experience of parathyroid risk in thyroid surgery on the basis of 1 188 thyroidectomies performed between 1973 and 1980. The benign thyroid pathology, the risk is negligeable, approximately 1%, though with the exception of operations for recurrence. In malignant tumour pathology, amongst 98 carcinomas treated by total thyroidectomy and mediastino-recurrent laryngeal lymph node dissection, the authors report an overall percentage of definitive major hypocalcaemia of 22.5%. Routine identification of the parathyroids at the start of the operation, at least on the healthy side, and care not to damage their vascular supply has made it possible to reduce the rate of hypoparathyroidism to 10% in the past two years. A study of anatomical dissection of 200 parathyroid glands with vascular injection is reported in the preamble. Finally, the authors analyse in the literature the results of parathyroid transplant and report their own experience.
作者基于1973年至1980年间进行的1188例甲状腺切除术，报告了他们在甲状腺手术中甲状旁腺风险的经验。对于良性甲状腺病变，风险可忽略不计，约为1%，但复发性手术除外。在恶性肿瘤病变中，在98例接受全甲状腺切除术和纵隔-喉返神经淋巴结清扫术治疗的癌肿中，作者报告明确的严重低钙血症的总体发生率为22.5%。在手术开始时常规识别甲状旁腺，至少在健康侧，并注意不损伤其血供，使得过去两年甲状旁腺功能减退的发生率降至10%。前言中报告了一项对200个甲状旁腺进行血管注射解剖的研究。最后，作者分析了文献中甲状旁腺移植的结果并报告了他们自己的经验。
