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甲状腺切除术后甲状旁腺功能减退症

Post-thyroidectomy hypoparathyroidism.

作者信息

Hans S S, Lee P T

出版信息

Am Surg. 1976 Dec;42(12):930-3.

PMID:999087
Abstract

The incidence of hypoparathyroidism following thyroid surgery in the series reported was 7.8 per cent. Temporary hypoparathyroidism was present in 15 patients (4.6%) and permanent hypoparathyroidism in 10 (3.2%). Persistently low levels of serum calcium and high levels of serum phosphorus at six to 10 weeks after thyroid operation in patients with temporary hypoparathyroidism, with no tendency toward normalization, suggests permanent hypoparathyroidism. Serum calcium below 5 mg per cent suggests permanent hypoparathyroidism.

摘要

在报道的该系列病例中,甲状腺手术后甲状旁腺功能减退的发生率为7.8%。15例患者(4.6%)出现暂时性甲状旁腺功能减退,10例(3.2%)出现永久性甲状旁腺功能减退。暂时性甲状旁腺功能减退的患者在甲状腺手术后6至10周血清钙持续处于低水平、血清磷处于高水平且无趋于正常的趋势,提示永久性甲状旁腺功能减退。血清钙低于5毫克%提示永久性甲状旁腺功能减退。

相似文献

1
Post-thyroidectomy hypoparathyroidism.甲状腺切除术后甲状旁腺功能减退症
Am Surg. 1976 Dec;42(12):930-3.
2
[An unusual case of extensive generalized arterial calcification in a subject with secondary hypoparathyroidism treated for almost 15 years with calcium and vitamin D].[一名继发性甲状旁腺功能减退患者广泛全身性动脉钙化的罕见病例,该患者接受钙和维生素D治疗近15年]
Ann Ital Chir. 1980;52(1):69-79.
3
[Parathyroid hypofunction after total thyroidectomy for differentiated thyroid carcinoma--perspectives after long term observation and treatment].[分化型甲状腺癌全甲状腺切除术后甲状旁腺功能减退——长期观察与治疗后的展望]
Wiad Lek. 2001;54 Suppl 1:398-404.
4
Parathyroid risk in total thyroidectomy for bilateral, benign, multinodular goitre: report of 351 surgical cases.双侧良性多结节性甲状腺肿全甲状腺切除术中的甲状旁腺风险:351例手术病例报告
J Laryngol Otol. 2007 Mar;121(3):237-41. doi: 10.1017/S0022215106003501. Epub 2006 Oct 23.
5
[Hypoparathyroidism: primary and secondary to neck surgery (author's transl)].
Rev Med Chil. 1978 Jan;106(1):19-27.
6
[Hypoparathyroidism after surgery on thyroid cancer: is there a delayed chance for recovery after a prolonged period of substitutive therapy?].[甲状腺癌手术后的甲状旁腺功能减退:长期替代治疗后是否存在延迟恢复的机会?]
Endokrynol Pol. 2006 Sep-Oct;57(5):501-8.
7
Case report. Latent hypoparathyroidism.
J Tenn Med Assoc. 1967 Feb;60(2):152-4.
8
Medical complications of thyroid surgery.
Otolaryngol Clin North Am. 1980 Feb;13(1):99-107.
9
[Post-thyroidectomy hypoparathyroidism. Clinical and therapeutic considerations].[甲状腺切除术后甲状旁腺功能减退症。临床及治疗考量]
Arq Bras Endocrinol Metabol. 1966 Dec;15(3):209-18.
10
Evaluation of serum calcium levels in predicting hypoparathyroidism after total/near-total thyroidectomy or parathyroidectomy.评估血清钙水平在预测全/近全甲状腺切除术或甲状旁腺切除术后甲状旁腺功能减退中的作用。
Am Surg. 2001 Mar;67(3):249-51; discussion 251-2.

引用本文的文献

1
Contact endoscopy for identifying the parathyroid glands during thyroidectomy.术中触诊联合内镜检查在甲状腺切除术中识别甲状旁腺。
Acta Otorhinolaryngol Ital. 2010 Feb;30(1):20-6.