在全甲状腺切除术期间识别的副甲状腺的总数及其与术后的副甲状腺功能低下症的关系
Bushra A Alharbi1, Latefa A Alareek1, Saleh Aldhahri1
1Otolaryngology - Head and Neck Surgery, Department of Otolaryngology, Head and Neck Surgery, King Saud University Medical College, Riyadh, SAU.
Cureus
|December 18, 2023
概括
在全甲状腺切除术期间识别更多的副甲状腺 (PG) 与术后低副甲状腺症风险增加有关. 仔细识别和管理对于防止这种并发症至关重要.
科学领域:
- 内分泌学 在内分泌学.
- 手术瘤学手术瘤学
- 神经外科 神经外科
背景情况:
- 手术后的小甲状腺功能低下症是完全甲状腺切除术后的常见并发症.
- 在手术期间发现的副甲状腺 (PG) 数量可能会影响这种风险.
研究的目的:
- 评估手术内确定的PG数量与术后偏偏甲状腺症风险之间的关系.
- 为了确定手术后偏偏甲状腺症的风险和预后因素.
主要方法:
- 对499名接受全甲状腺切除术的患者进行了回顾性研究.
- 对确定PG的数量进行操作报告的分析.
- 调查人口,临床和手术因素.
主要成果:
- 确定的PG数量与术后偏偏甲状腺症的风险之间存在正相关性.
- 对0,1,2,3和4个确定的PG的特定风险分别为6.6%,7.3%,34.4%,34.4%和17.2%.
结论:
- 增加PG的手术内鉴定与完全甲状腺切除术后无意中甲状腺功能低下的可能性更高相关.
- 降低这种风险的策略需要进一步调查.
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