Surgical treatment strategy of thyroid cancer complicated with primary hyperparathyroidism
10.3969/j.issn.1673-9701.2025.22.008
- VernacularTitle:甲状腺癌伴原发性甲状旁腺功能亢进症的外科治疗策略
- Author:
Anran DU
1
;
Lei AN
;
Changsheng TENG
;
Zhicheng GE
;
Zhongtao ZHANG
;
Guoqian DING
Author Information
1. 首都医科大学第二临床医学院,北京 100050
- Publication Type:Journal Article
- Keywords:
Thyroid cancer;
Primary hyperparathyroidism;
Combined surgery
- From:
China Modern Doctor
2025;63(22):31-35
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the surgical treatment strategy for patients with thyroid cancer complicated with primary hyperparathyroidism(PHPT).Methods A retrospective analysis was conducted on the case data of thyroid cancer patients who underwent surgical treatment at Beijing Friendship Hospital,Capital Medical University from January 2016 to January 2022.Among them,22 patients with PHPT were included in study group,and 44 patients were randomly selected from thyroid cancer patients during the same period at a ratio of 1∶2 and included in control group.The operation time,intraoperative blood loss,hospital stay and occurrence of complications of two groups of patients were compared.Results The operation time of patients in study group was significantly longer than that in control group(P＜0.01).There was no statistically significant difference in intraoperative blood loss and hospital stay between two groups of patients(P＞0.05).There were 5 cases of temporary hypocalcemia in study group,12 cases of temporary hypocalcemia and 1 case of incision infection in control group.There was no statistically significant difference in incidence of postoperative complications between two groups of patients(P＞0.05).Conclusion Thyroid cancer complicated with PHPT increases the complexity of treatment.Through adequate preoperative diagnosis and reasonable surgical treatment strategies,the risks of secondary surgery and postoperative complications can be effectively reduced,and the prognosis of patients can be improved.
