不同甲状腺手术方式对围手术期血钙浓度的影响

来益; 费梦嘉; 王家东

doi:10.13201/j.issn.1001-1781.2014.23.016

不同甲状腺手术方式对围手术期血钙浓度的影响

- 上海交通大学医学院附属仁济医院头颈外科(上海, 200001)
基金项目:
上海市卫生局重点项目(No:2012029)

详细信息

通讯作者: 王家东,E-mail:drjiadongw@aliyun.com

中图分类号: R322.53

收稿日期: 2014-07-21

Influence of different thyroidectomy on perioperative blood calcium concentration

- Department of Head and Neck Surgery, Ren Ji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, 200001, China

More Information

Corresponding author: WANG Jiadong, E-mail: drjiadongw@aliyun.com

Received Date: 21 July 2014

摘要

摘要: 目的:探讨不同甲状腺手术方式对患者围手术期血钙浓度的影响。方法:回顾性分析240例行甲状腺术患者的临床资料及其术后1个月的随访结果。结果:按照手术方式将患者分为4组,分别为单侧次全/完全切除术(组1),单侧全切+颈部淋巴结清扫术(组2),双侧次全/单侧全切+对侧次全切除术(组3),单侧全切+对侧次/近全切除术+颈部淋巴结清扫术(组4)。与组1比较,加行一侧颈部淋巴结清扫术的组2患者术后血钙浓度下降的更为显著(P<0.05),且更倾向于发生低钙血症(P<0.05);而与组3比较,加行颈部淋巴结清扫术的组4患者术后血钙浓度下降的更为显著(P<0.05),且更倾向于发生低钙血症(P<0.05)。结论:仅行甲状腺切除术并不会影响患者围手术期血钙浓度,而加行颈部Ⅵ区淋巴结清扫术会增加患者发生围手术期低钙血症的概率。
- 低钙血症 /
- 甲状旁腺 /
- 甲状腺切除术 /
- 围手术期
Abstract: Objective:To discuss the influence of different thyroidectomy on perioperative blood calcium concentration.Method:Total number of patients was 240.These patients of thyroid tumors were recruited.Clinical and follow-up datum were retrospective analyzed.Result:Patients were divided into four groups by different operative methods. Group one was patients taken one-side thyroidectomy,group two taken one-side lymph node dissection plus,group three taken two-sides thyroidectomy,and group four taken one or two sides lymph node dissection plus.Group two was easier to become hypocalcemia and their calcium concentration decreased more remarkably,compared with group one.Patients taken two-sides thyroidectomy had the familiar outcome.Conclusion:Patients taken lymph node dissection were easier to become hypocalcemia,compared with patients only taken thyroidectomy.
- hypocalcemia /
- parathyroid /
- thyroidectomy /
- perioperation

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