[1]杨维萍,任立军,公丕果,等.甲状腺全切术中精细化被膜解剖对甲状旁腺功能影响[J].青岛大学学报(医学版),2017,53(06):690-693.[doi:10.13361/j.qdyxy.201706015]
 YANG Weiping,REN Lijun,GONG Piguo,et al.EFFECT OF THE METICULOUS CAPSULAR DISSECTION TECHNIQUE ON PARATHYROID FUNCTION IN TOTAL THYROIDECTOMY[J].JOURNAL OF QINGDAO UNIVERSITY (MEDICAL SCIENCES),2017,53(06):690-693.[doi:10.13361/j.qdyxy.201706015]
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甲状腺全切术中精细化被膜解剖对甲状旁腺功能影响()
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《青岛大学学报(医学版)》[ISSN:2096-5532/CN:37-1217/R]

卷:
第53卷
期数:
2017年06期
页码:
690-693
栏目:
出版日期:
2018-03-21

文章信息/Info

Title:
EFFECT OF THE METICULOUS CAPSULAR DISSECTION TECHNIQUE ON PARATHYROID FUNCTION IN TOTAL THYROIDECTOMY
文章编号:
1672-4488(2017)06-0690-04
作者:
杨维萍1任立军1公丕果1侯信明2于军华1李贤1
1 青岛市城阳区人民医院甲状腺、乳腺外科,山东 青岛 266109; 2 泰山医学院附属聊城市第二人民医院甲状腺、乳腺外科
Author(s):
YANG Weiping REN Lijun GONG Piguo HOU Xinming YU Junhua LI Xian
Department of Thyroid and Breast Surgery, Chengyang District People’s Hospital of Qingdao, Qingdao 266109, China
关键词:
精细化被膜解剖甲状腺切除术甲状旁腺功能减退症
Keywords:
meticulous capsulardissection techni thyroidectomy hypoparathyroidism
分类号:
R653
DOI:
10.13361/j.qdyxy.201706015
文献标志码:
A
摘要:
目的 探讨在双侧甲状腺全切除术中应用精细化被膜解剖法对甲状旁腺功能的影响。
方法 回顾性分析2015年1月—2017年2月于我院及聊城市第二人民医院行双侧甲状腺全切除术的190例病人的临床资料,比较采用和不采用精细化被膜解剖病人手术后甲状旁腺素及血钙水平的变化。
结果 两组病人术前甲状旁腺素及血钙水平差异无统计学意义(P>0.05);采用精细化被膜解剖法手术病人,术后甲状旁腺素及血钙水平高于不采用病人,差异有统计学意义(t=2.114~5.905,P<0.05)。
结论 精细化被膜解剖可更好地显露甲状旁腺,保护甲状旁腺的血运及功能,是预防术后甲状旁腺功能减退的有效方法。
Abstract:
Objective  To investigate the effect of the meticulous capsular dissection technique on parathyroid function in bilateral total thyroidectomy.
Methods  A total of 190 patients who underwent bilateral total thyroidectomy in our hospital and The Second People’s Hospital of Liaocheng from January 2015 to February 2017 were enrolled, and the changes in the levels of parathyroid hormone and blood calcium after surgery were compared between the patients who underwent meticulous capsular dissection and those who did not.
Results  There were no significant differences in the levels of parathyroid hormone and blood calcium before surgery between the two groups (P>0.05). The patients who underwent meticulous capsular dissection had significantly higher levels of parathyroid hormone and blood calcium after surgery than those who did not (t=2.114-5.905,P<0.05).
Conclusion  The meticulous capsular dissection technique can well expose the parathyroid glands and protect their blood supply and function. Therefore, it is an effective method for the prevention of postoperative hypoparathyroidism.
更新日期/Last Update: 2018-03-24