Schmauss A K, Zech U
Zentralbl Chir. 1981;106(16):1063-73.
In 150 patients who underwent surgery of the thyroid gland without ligation of the inferior thyroid arteries the concentrations of calcium and phosphorus were examined and the patients checked for clinical signs of hypoparathyroidism. In 149 patients without symptoms of tetania over the first 3 postoperative days a decrease of calcium could be observed as it happens likewise after cholecystectomies. Only one patient presented an acute state of hypoparathyroidism postoperatively. In this case the decrease of calcium turned out to be very rapid. Omitting the ligation of the inferior thyroid arteries lowers the incidence of postoperative hypoparathyroidism thus meeting the demand for a functional resection.
在150例行甲状腺手术但未结扎甲状腺下动脉的患者中，检测了钙和磷的浓度，并检查患者有无甲状旁腺功能减退的临床体征。在149例术后头3天无手足搐搦症状的患者中，可观察到钙水平下降，这与胆囊切除术后的情况相同。只有1例患者术后出现急性甲状旁腺功能减退状态。在这种情况下，钙的下降非常迅速。不结扎甲状腺下动脉可降低术后甲状旁腺功能减退的发生率，从而满足功能性切除的要求。
