| Abstract: | Objective To explore the risk factors of hypoparathyroidism （HypoPT） after thyroidec-tomy and analyze the relationship between the number of coexisting risk factors and the incidence of HypoPT, so as to guide the clinical treatment. Methods A total of 266 patients with the complete data after the thyroidectomy in Yunnan Cancer Hospital from July 2021 to March 2022 were retrospectively analyzed. Univariate analysis and multivariate Logistic regression were used to analyze the risk factors of HypoPT and the relationship between the number of co-existing risk factors and the incidence of HypoPT. Results （1） Univariate analysis results: There were statistically significant differences in age, body mass index （BMI）, hypertension, metabolic syndrome （MS）, mass nature, T stage, central lymph node dissection （CLND） , lymph node metastasis, surrounding invasion, gland lobectomy method （unilateral total resection, bilateral total resection） （P < 0.05）; （2） Logistic multivariate analysis results: MS, CLND, tumor nature, Lymph node metastasis were the independent risk factors for the incidence of HypoPT （P < 0.05）; （3） After adjusting for age and other clinical factors, there was a positive correlation between the number of risk factors and the incidence of HypoPT. Conclusion （1） Age, BMI, hypertension, MS, mass nature, T stage, CLND, lymph node metastasis, peripheral invasion, and gland lobectomy method will affect the incidence of HypoPT; （2） MS, CLND, mass nature, lymph node metastasis are independent risk factor for HypoPT; （3） There is a positive correlation between the number of risk factor and the incidence of HypoPT. |
