甲状腺术后低钙血症的临床分析

目的探讨甲状腺手术后低钙血症的发生规律和相关因素及治疗方法。方法对1998年10月至2006年9月收治的1906例行甲状腺手术病人,分析监测术后血清钙的变化。结果甲状腺手术后出现的钙血症286例,其中单侧腺叶次全切术16例,均无症状;双侧叶全切术22例,一侧腺叶全切、对侧叶次全切术183例,双侧腺叶次全切除术59例,一侧腺叶全切、对侧腺叶部分切除术6例。结论双侧叶甲状腺全切、一侧腺叶全切加对侧叶次全切、双侧叶甲状腺次全切的手术后易出现需要治疗的低钙血症。血钙的高低与甲状旁腺的保留量、甲状旁腺激素水平似乎无必然联系。

The clinical analysis of hypocalcemia after thyroid surgory

Objective To inrestiagte the rule,etiology and treatment of hypocalcemia after thyroid surgery.Methods The change of serum calcium was analyzed in 1 906 patients who received thyroid operation between october 1998 and september 2006.Results Two hundred and eighty-six cases developed hypocalcemia after operation,of then,16 cases were in subtotal thyroid lobectomy,22 cases in total thyroidectomy,183 cases in unilateral lobectomy with contralateral subtotal lobectomy,59 cases in unilateral subtotal lobectomy with contralateral subtotal lobectomy,and 6 cases in unilateral subtotal lobectomy with contraluteral partial tyhroid lobectomy.Conclusion Hypocalcemia after occurs in total thyroidectemy and unilateral lobectomy or subtotal lobectomy,with contralateral subtotal lobectomy.It is necessary to treat hypocalcemia.The level of seurm calcium seems no obvious relationship with the remains of parathyroid glands and the level of parathyroid gland hormones.