甲状腺肿瘤手术中暴露并保护甲状旁腺的解剖与手术操作要点

Abstract

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

CLC Number:

R653

HONG Gao-Bei, HUANG Yang-Kai, LIN Ren-Ju, HUANG Han-Min. Preservation of parathyroid gland during the resection of thyroid neoplasms: anatomy and operative procedure[J]. Chinese Journal Of Clinical Anatomy, 2011, 29(4): 461-463.

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Preservation of parathyroid gland during the resection of thyroid neoplasms: anatomy and operative procedure

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