收缩甲状腺是很重要的:在甲状腺切除术后,谁会出现无症状的过渡性甲状腺毒性病?
Rongzhi Wang1, Gabe Stidham2, Kelly Lovell1
1Department of Surgery, University of Alabama at Birmingham, Birmingham, AL, United States.
American journal of surgery
|January 31, 2024
概括
副甲状腺切除术后过渡性甲状腺功能障碍很常见,影响24.2%的患者. 这种情况与手术期间的甲状腺操纵有关,通常在没有治疗的情况下消失.
科学领域:
- 内分泌学 在内分泌学.
- 手术并发症 手术并发症
- 甲状腺和副甲状腺疾病
背景情况:
- 副甲状腺切除术后的甲状腺功能障碍是一种研究不足的并发症.
- 了解其发生率和风险因素对于患者护理至关重要.
研究的目的:
- 为了确定甲状腺功能障碍术后甲状腺功能障碍症的发生率.
- 为了确定与这种并发症相关的风险因素.
主要方法:
- 对91名接受副甲状腺切除术的患者进行前性研究.
- 在手术前和后收集的甲状腺刺激激素 (TSH) 和自由甲状腺素 (T4) 水平.
- 使用双变量分析来比较患者组.
主要成果:
- 24.2%的患者在副甲状腺切除术后表现出抑制的TSH.
- 2.2%的人报告过渡性甲状腺功能过高症状,在没有医疗干预的情况下在6周内消失.
- 抑制的TSH与双边探索和上侧甲状腺切除显著相关.
结论:
- 过渡性甲状腺功能增强症是在侧甲状腺切除术后经常发生的.
- 在手术内操纵甲状腺似乎是其中的一个因素.
- 建议小心收缩甲状腺,特别是在上侧甲状腺切除期间.
相关概念视频
The Parathyroid Glands
2.1K
The two pairs of parathyroid glands embedded within the posterior surface of the thyroid gland are restricted by a dense capsule around them. These glands comprise two distinct cell populations—parathyroid oxyphil and parathyroid principal cells- pivotal in calcium homeostasis.
Oxyphil cells, whose functions remain elusive, emerge during late puberty, adding a layer of complexity to the parathyroid gland's intricacies. In contrast, principal parathyroid cells undertake a vital role by...
Oxyphil cells, whose functions remain elusive, emerge during late puberty, adding a layer of complexity to the parathyroid gland's intricacies. In contrast, principal parathyroid cells undertake a vital role by...
2.1K
Synthesis and Regulation of Thyroid Hormones
4.6K
Low blood levels of the thyroid hormones — triiodothyronine (T3) and thyroxine (T4) — signal the hypothalamus to release the thyrotropin-releasing hormone (TRH). TRH then reaches the pituitary gland and stimulates the release of thyroid-stimulating hormone(TSH) into the bloodstream.
Upon reaching the thyroid gland, TSH stimulates the follicular cells' active uptake of iodide ions from the blood. The ions diffuse to the apical surface of the cells and are oxidized to iodine. The...
Upon reaching the thyroid gland, TSH stimulates the follicular cells' active uptake of iodide ions from the blood. The ions diffuse to the apical surface of the cells and are oxidized to iodine. The...
4.6K
Hormones and Bone Tissue
2.7K
The endocrine system produces and secretes hormones, which interact with the skeletal system. These hormones control bone growth, maintain bone once it is formed, and remodel it.
Hormones That Influence Osteoblasts and/or Maintain the Matrix
Several hormones are necessary for controlling bone growth and maintaining the bone matrix. The pituitary gland secretes growth hormone (GH), which, as its name implies, controls bone growth. This happens in several ways: first, it triggers chondrocyte...
Hormones That Influence Osteoblasts and/or Maintain the Matrix
Several hormones are necessary for controlling bone growth and maintaining the bone matrix. The pituitary gland secretes growth hormone (GH), which, as its name implies, controls bone growth. This happens in several ways: first, it triggers chondrocyte...
2.7K
Skeleton and Calcium Homeostasis
4.5K
Calcium is not only the most abundant mineral in bone but also the most abundant mineral in the human body. Calcium ions are needed for bone mineralization, tooth health, heart rate regulation and strength of contraction, blood coagulation, the contraction of smooth and skeletal muscle cells, and the regulation of nerve impulse conduction. The average calcium level in the blood is about 10 mg/dL. When the body cannot maintain this level, a person will experience hypo or hypercalcemia.
4.5K
Functions of Thyroid Hormones
2.8K
The thyroid hormone (TH) plays a pivotal role in the intricate orchestration of physiological processes, exerting profound effects on development, metabolism, and homeostasis throughout different life stages.
TH is indispensable for the normal development and maturation of the skeletal, muscular, and nervous systems during fetal and childhood growth. It facilitates bone mineral turnover and regulates protein synthesis in developing tissues, contributing significantly to overall growth and...
TH is indispensable for the normal development and maturation of the skeletal, muscular, and nervous systems during fetal and childhood growth. It facilitates bone mineral turnover and regulates protein synthesis in developing tissues, contributing significantly to overall growth and...
2.8K
The Thyroid Gland
3.9K
The thyroid gland is a small, butterfly-shaped gland located in the neck and covers the anterior surface of the trachea. The gland has two lateral lobes connected by a thin tissue mass called the isthmus. Internally, each lobe comprises many small spherical structures known as thyroid follicles, surrounded by a network of blood vessels.
The follicles have a central cavity lined by simple cuboidal to squamous epithelial cells called follicular cells. These cells produce the glycoprotein...
The follicles have a central cavity lined by simple cuboidal to squamous epithelial cells called follicular cells. These cells produce the glycoprotein...
3.9K


