The prevention and treatment of iatrogenic hypoparathyroidism in total thyroidectomy
10.3760/cma.j.issn.1674-6090.2014.04.018
- VernacularTitle:甲状腺全切术中医源性甲状旁腺功能减退的防治
- Author:
Wei XUE
;
Yunfei DUAN
;
Feng ZHU
;
Chuanxing WU
;
Yong JIANG
;
Donglin SUN
- Publication Type:Journal Article
- Keywords:
Thyroid;
Total thyroidectomy;
Hypoparathyroidism
- From:
Journal of Endocrine Surgery
2014;(4):319-321
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarize the experience of the prevention and treatment of iatrogenic hypo-parathyroidism in total thyroidectomy .Methods 377 patients received total thyroidectomy performed by the Thy-roid Professional Group of Hepatobiliary Surgery Department of the Third Affiliated Hospital of Soochow University from Jan.2010 to Dec.2012.Their clinical date were retrospectively analyzed .Results There was no perma-nent postoperative hypoparathyroidism .The incidence of temporary hypoparathyroidism was 13.79%( 52/377 ) . The occurrence of transient hypocalcemia was 10.61%( 40/377 ) .Conclusions Iatrogenic hypoparathyroidism can be prevented by intraoperative in situ protection of parathyroid glands and their blood supply using fine cap -sule anatomy method .Postoperative improvement of microcirculation and calcium supplement also help prevent postoperative hypoparathyroidism .
