Effects of different surgery methods of thyroid on postoperative serum calcium changes
- VernacularTitle:不同术式对甲状腺手术后患者血钙变化的影响
- Author:
Qingye WANG
1
Author Information
1. 辽宁省辽阳市中心医院普外一科
- Keywords:
Thyroid gland;
Differ surgey;
Hypocalcemia
- From:
China Modern Doctor
2015;(3):35-37
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the effect of differ surgey of thyroid gland to the diversification post-hypocalcemia. Methods Retrospectively analyzed 84 cases with thyroid gland treated from October 2010 to January 2013, the 31 cases were bilater most excision,the 17 cases were single complete excision and opposite side, isthmus,the 26 cases were single complete excision,the 10 cases were bilater complete excision. The diversification post-hypocalcemia were com-pared. Results The level of 1 d, 2 d, 3 d hypocalcemia were significant lower in the bilater most excision and bilater complete excision(P<0.05). The level of 1 d, 2 d, 4 d hypocalcemia were significant lower in the single complete exci-sion and opposite side, isthmus (P<0.05). The level of 1 d, 2 d hypocalcemia were significant lower in the single complete excision(P<0.05). There were 52 cases of hypocalcemia in all cases. The most rate were 80.6% and 80.0% in the bi later most excision and bilater complete excision. The rate were 41.2% and 46.2% in the single complete excision and single complete excision and opposite side,isthmus. The symptom of patients were 18 cases (34.6%)and no symp tom were 34 cases (65.4%). Conclusion The occurrence of hypocalcemia has been related to the pathology and surgical method.
