关键词: 甲状腺肿瘤, 甲状旁腺, 外科手术

Abstract:

Objective　To explore operational points for preserving parathyroid glands during the thyroid neoplasms surgery.　Methods　From Jan. 2004 to Dec. 2010, 145 cases of thyroid diffuse nodules and thyroid cancer underwent surgical therapy. Among them, 65 cases only preserved posterior capsule, but not presented parathyroid glands during the operation. However, another 80 cases were performed the liberation and preservation of parathyroid glands and its blood supply during the operation. Postoperative serum calcium level was monitored dynamicly, for evaluating the function of parathyroid glands.　Results　Postoperative incidence of hypoparathyroidism in patients exposing and preserving of parathyroid glands during the operation was significantly lower than that in patients with no special preserving of parathyroid glands（P<0.05）.　Conclusions　During the thyroidectomy procedure, exposing and protecting the parathyroid gland can effectively decrease the incidence of postoperative hypoparathyroidism.

Key words: Thyroid neoplasms, Parathyroid glands, Surgical procedures