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1025例甲状腺全切除术中甲状旁腺及其功能的保护 被引量：5

The Preservation of Parathyroid Glands in 1025 Cases with Total Thyroidectomy
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摘要 [目的]探讨甲状腺全切除术中甲状旁腺及其功能的保护。[方法]对1025例行甲状腺全切除患者在术中显露甲状旁腺,仔细辨认并保护甲状旁腺的滋养血管,比较术前及术后血清钙及甲状旁腺素水平。[结果]36例(3.5%)术后出现临床症状及血清钙和甲状旁腺素降低,12例(1.2%)血清钙明显降低,甲状旁腺素正常,无临床症状;124例(12.1%)术后血钙一过性降低,甲状旁腺素正常;853例(83.2%)术后血清钙及甲状旁腺素正常,所有患者均未出现永久性甲状旁腺功能低下。[结论]甲状腺手术中仔细辨认并保护甲状旁腺及其血液供应,是保证其功能的至关重要环节。对动脉血供明显障碍及误被切除的甲状旁腺术中及时自体移植是有效的补救措施。
作者 孟宪瑛 徐静 张强 奚莉
机构地区 吉林大学第一医院
出处 《肿瘤学杂志》 CAS 2012年第5期390-391,共2页 Journal of Chinese Oncology
关键词 甲状腺切除术 甲状旁腺 甲状旁腺功能减退症 低钙血症
分类号 R736.1 [医药卫生—肿瘤]
  • 相关文献

参考文献8

二级参考文献46

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共引文献399

同被引文献33

  • 1高国栋,黄韬,刘春萍,石岚,李治,宋旗,袁鹏.甲状腺全切除术中甲状旁腺的保护[J].中华外科杂志,2007,45(17):1221-1222. 被引量：12
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引证文献5

二级引证文献26

肿瘤学杂志
2012年 第5期

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