摘要
目的探讨甲状腺全切术后低钙血症的相关危险因素。方法收集84例甲状腺全切术患者临床资料,回顾性分析术后低钙血症发生的相关危险因素。结果术后46例(54.76%)发生低钙血症;其中的25例出现低钙血症症状。术后甲状旁腺素水平[(16.17±8.21)pg/ml]与血钙水平[(1.94±0.21)mmol/L]呈正相关(r=0.841,P<0.05)。颈部淋巴结清扫及清扫范围、甲状腺疾病病理诊断和甲状旁腺切除是术后低钙血症发生的危险因素(P<0.01);甲状腺癌、颈部淋巴结清扫和甲状旁腺切除是术后低钙血症的独立危险因素(P<0.01)。结论甲状腺全切术后低钙血症发生率高;低钙血症危险因素主要为甲状腺癌、颈部淋巴结清扫和甲状旁腺切除。
Objective To study the risk factors for hypocalcemia after total thyroidectomy. Methods Data of 84 patients underwent total thyroidectomy were retrospectively reviewed and the hypocalcemia-related risk factors were analyzed. Results Hypocalcemia occurred in 46 cases （54.76 %）, in whom 25 cases manifested the symptoms of hypocalcemia. Serum calcium level [-（1.94 ± 0. 21） mmol/L] was positively correlated to parathyroid hormone levels [ （16.17 ± 8. 21） pg/ml] （r=0.841, P〈0.05）. The risk factors for hypocalcemia were neck lymph node dissection, pathological diagnosis and parathyroid glands resection （P〈0. 01）. The thyroid carcinoma, cervical lymph node dissection and parathyroid gland excision were the independent risk factors for the postoperative hypocalcemia （P〈0. 01 ）. Conclusion The incidence of hypocalcemia after total thyroidectomy is higher. The main risk factors for postoperative hypocalcemia are thyroid carcinoma, cervical lymph node dissection and parathyroid gland excision.
出处
《江苏医药》
CAS
北大核心
2013年第16期1926-1928,共3页
Jiangsu Medical Journal
