872例甲状腺术中甲状旁腺的保护

目的 总结甲状腺疾病术中甲状旁腺及其功能的保护.方法 回顾性分析武汉市中心医院872例甲状腺手术病例资料.结果 行一侧甲状腺腺叶手术377例,双侧甲状腺腺叶手术495例.甲状旁腺损伤发生率为2.06%（18/872）,永久性甲状旁腺功能低下为0.23%（2/872）,均出现在双侧腺体全切除病例中.结论 术中保护甲状旁腺的血供,分离甲状旁腺时避免直接挫伤和误切,术后对血钙明显降低者适量补充钙剂是保护甲状旁腺功能的重要措施.

Parathyroid glands preservation in 872 cases thyroidectomy

Objective To summarize the experience of how to preserve parathyroid glands and their function in thyroidectomy. Methods Data of 872 patients with thyroid carcinoma who entered our hospital from May. 2006 to Oct. 2009 were retrospectively analyzed. Results Parathyroid damage rate was 2. 06% (18/872)and permanent hypoparathyroidism was 0. 23% (2/872). All occurred in total thyroidectomy. Conclusions Preserving blood supply for parathyroid and avoiding direct contusion or misresection are important for preventing hypoparathyroidism in thyroidectomy. Calcium supplementation should be given to patients with obviously low serum calcium level after surgery to prevent permanent hypoparathroidism.