摘要
目的:分析常见甲状腺手术与术后患者发生低钙血症之间的关系并探讨其发生的原因。方法:2010年1月至2011年12月于我科226例甲状腺手术患者,分别于术前1天、术后第1天测定血清PTH,术前1天及术后1～5d测定血清钙。结果:甲状腺全切术及有淋巴结清扫时低钙血症发生率显著高于次全切除术及无淋巴结清扫(P<0.05),无低钙血症组术前术后血中PTH含量无明显差别(P>0.05),低钙血症组术后比术前降低(P<0.05)。结论:甲状腺手术后低钙血症与甲状旁腺的损伤关系密切,甲状腺全切术及有淋巴结清扫时低钙血症发生率显著增加。
Objective：To analyze and discuss the relationship of thyroid surgery and postoperative hypoealcaemia （PHC）. Methods： 226 cases of thyroid surgery from January 2010 to December 2011 were retrospectively analyzed. PTH level was assayed 1 day before and 1 day after thyroidectomy, serum calcium level was assayed 1 days before and 1-5 days after thyroidectomy. Results： The incidence of postoperative hypocalcaemia in total thyroidectomy plus lymphadenectomy groups was significant higher than that in subtotal thyroidectomy and without lymphadenectomy groups （P〈0.05）. PTH level of hypoealcaemic group was significantly lower than that of normal calcium group after thyroid surgery.Conclusion： Parathyroidectomy may account for the occurrence of postoperative hypoealeaemia; total thyroidectomy and lymphadeneetomy can increaseits incidence.
出处
《泸州医学院学报》
2012年第5期502-504,共3页
Journal of Luzhou Medical College
