Hans S S, Lee P T
Am Surg. 1976 Dec;42(12):930-3.
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.
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。