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975例甲状腺疾病患者手术中预防甲状旁腺损伤体会
引用本文:赵挺,颜育祥,许践刚,陈理谭. 975例甲状腺疾病患者手术中预防甲状旁腺损伤体会[J]. 中国肿瘤, 2007, 16(6): 467-468
作者姓名:赵挺  颜育祥  许践刚  陈理谭
作者单位:温州市第二人民医院,温州市肿瘤医院,浙江,温州,325000
摘    要:[目的]总结甲状腺疾病手术中预防甲状旁腺损伤的体会。[方法]975例甲状腺疾病患者行一侧甲状腺腺叶手术428例,行双侧甲状腺腺叶手术547例。[结果]5例出现暂时性甲状旁腺功能低下,且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,分离甲状旁腺时要避免直接挫伤和误切是防止术后并发甲状旁腺功能低下的重要保证。

关 键 词:甲状腺  甲状旁腺损伤  外科学  预防
文章编号:1004-0242(2007)06-0467-02
收稿时间:2007-01-08
修稿时间:2007-01-082007-04-16

Preventing Parathyroid Trauma in Thyroidectomy in 975 Cases with Thyroid Disease
ZHAO Ting, YAN Yu-xiang, XU Jian-gang,et al.. Preventing Parathyroid Trauma in Thyroidectomy in 975 Cases with Thyroid Disease[J]. CHINA CANCER, 2007, 16(6): 467-468
Authors:ZHAO Ting   YAN Yu-xiang   XU Jian-gang  et al.
Affiliation:Wenzhou Second Hospital, Wenzhou Tumor Hospital, Wenzhou 325000, China
Abstract:[ Purpose] To summarize the experience of preventing parathyroid trauma in thyroidectomy. [Methods ] Of 975 cases with thyroid disease, 428 cases underwent one lobe thyroid gland resection and 547 cases underwent total thyroidectomy. [Results] Five cases revealed provisional hypoparathyroidism. All the 5 cases underwent total thyroidectomy. [Conclusion ] Preserving blood-supply for parathyroid and avoiding direct contusion or misresection are important for preventing hypoparathyroidism in thyroidectomy.
Keywords:thyroid   parathyroid trauma   surgery   prevention
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