Salander H, Tisell L E
Am J Surg. 1980 Mar;139(3):385-8. doi: 10.1016/0002-9610(80)90299-8.
Eighteen patients had undergone radical surgery for thyroid carcinoma. In all of them four parathyroid glands had been verified by frozen-section biopsy and removed. Thereafter two, three or four glands wereautotransplanted into muscle tissue. At least 1 year after the operation the patients underwent a calcium deprivation test. Before the test they all had normal serum calcium values without treatment. During the test seven patients remained normocalcemic, seven became hypocalcemic, and four had occasional low serum calcium values. After the test all were normocalcemic again. Patients with only autotransplanted parathyroid glands left after surgery should be tested for latent hypoparathyroidism.
18例患者接受了甲状腺癌根治手术。所有患者均经冰冻切片活检证实有4枚甲状旁腺并予以切除。随后将2枚、3枚或4枚甲状旁腺自体移植到肌肉组织中。术后至少1年，患者接受了钙剥夺试验。试验前，他们在未接受治疗的情况下血清钙值均正常。试验期间，7例患者血钙保持正常，7例出现血钙过低，4例偶尔出现血清钙值偏低。试验后，所有患者血钙再次恢复正常。术后仅留自体移植甲状旁腺的患者应检测是否存在潜在性甲状旁腺功能减退。
