Preservation of parathyroid during the thyroidectomy
10.3760/cma.j.issn.1673-0860.2014.11.003
- VernacularTitle:甲状腺全切手术中甲状旁腺的保护
- Author:
Haidong ZHANG
1
;
Shanchun GONG
;
Yaqun LIU
;
Qingxiang ZHANG
;
Zhenkun YU
Author Information
1. 东南大学医学院附属南京同仁医院耳鼻咽喉头颈外科
- Keywords:
Thyroidectomy;
Parathyroid glands;
Hypoparathyroidism
- From:
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
2014;49(11):889-892
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the protection of the parathyroid in the total thyroidectomy to avoid the postoperative permanent hypoparathyroidism.Methods Forty-three consecutive cases underwent total thyroidectomy from June 2013 to June 2014 in Nanjing Tongren Hospital were reviewed.Of them 26 cases with malignant and 17 cases with benign thyroid diseases.Results Intraoperatively,all 4 parathyroid glands were identified in 27 cases,3 parathyroids in 10 cases and 2 parathyroids in 6 cases.Intraoperative parathyroid transplantation was performed in 6 cases,including 5 cases with 1 parathyroid transplantation and 1 case with 2 parathyroid transplantation.With the follow-up of 1-3 months after surgery,10 cases presented with transient hypocalcemia,8 cases with temporary hypoparathyroidism and no case with permanent hypoparathyroidism.Conclusion Accurate identification and conservation in situ or auto-transplantation in total thyroidectomy could be effective for prevention of postoperative permanent hypoparathyroidism.
