| 甲状腺癌Ⅵ区清扫术中预防甲状旁腺损伤的术式探讨 |
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| 引用本文： | 齐宏.甲状腺癌Ⅵ区清扫术中预防甲状旁腺损伤的术式探讨[J].中国现代普通外科进展,2011,14(2):119-121,129. |
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| 作者姓名： | 齐宏 |
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| 作者单位： | 山东省青岛市市立医院,普外科,山东,青岛,266071 |
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| 摘 要： | 目的：探讨甲状腺癌Ⅵ区清扫术中保留甲状腺血管后支对甲状旁腺血运及功能的影响。方法：采用传统方法行甲状腺癌Ⅵ区淋巴结清扫及术中保留甲状腺上下血管后支方法的手术,术后观察甲状旁腺的血运及功能变化。结果：甲状腺癌Ⅵ区淋巴结清扫术中保留甲状旁腺上下血管后支可明显降低对甲状旁腺血运和功能影响。结论：甲状腺癌Ⅵ区清扫术中保留甲状腺血管后支可有效预防甲状旁腺功能低下。
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| 关 键 词： | 甲状腺肿瘤 甲状腺切除术 Ⅵ区清扫术 甲状旁腺 |
Preventing the parathyroid glands and their blood supplies during level VI lymphadenectomy of thyroid cancer surgery |
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| QI Hong.Preventing the parathyroid glands and their blood supplies during level VI lymphadenectomy of thyroid cancer surgery[J].Chinese Journal of Current Advances in General Surgery,2011,14(2):119-121,129. |
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| Authors: | QI Hong |
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| Institution: | QI Hong Department of General Surgery,Qingdao Municipal Hospital(Qingdao 266071,China) |
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| Abstract: | Objective： To discuss how to identify and protect the parathyroid glands and their blood supplies during level Ⅵ lymphadenectomy of thyroid cancer surgery.Methods： During operation,the parathyroid glands were exposed and preserved,and the trunk of thyroid arteries were avoided to ligate.After operation,the function of parathyroid was observed.Results： Before operation,the blood concentrations in patients received ligating the trunk of thyroid arteries were almost the same compared to those without ligating the arteries,there was no statistical difference,but after operation,there was statistical difference（P〈0.01）.Conclusion： During level Ⅵ lymphadenectomy of thyroid cancer surgery,parathyroid glands and its artery blood-supply should be exposed and preserved to prevent hypoparathyroidism after surgery. |
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| Keywords: | Thyroid neoplasms·Thyroidectomy·Level VI lymphadenectomy·Parathyroid glands |
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