全甲状腺切除术对微量元素的影响,即甲状腺疾病患者的和铜
Vahid Zand1, Mohammadhossein Baradaranfar1, Said Movahedinaini2
1Department of Otolaryngology- Head and Neck Surgery, Otorhinolaryngology Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
在患有甲状腺疾病的患者中,全甲状腺切除术显著降低了手术后4天的血清水平. 铜含量没有显著变化. 这会影响我们了解甲状腺切除后的微量元素平衡.
科学领域:
- 内分泌学 在内分泌学.
- 微量元素的新陈代谢
- 手术瘤学手术瘤学
背景情况:
- 甲状腺切除术是各种甲状腺疾病的常见手术.
- 和铜等血清微量元素在生理过程中起着至关重要的作用.
- 了解甲状腺切除术对微量元素水平的影响对于患者管理至关重要.
研究的目的:
- 为了研究全甲状腺切除术对血清和铜水平的影响.
- 在患有差异化甲状腺癌和多节的患者手术前和手术后比较微量元素水平.
- 分析甲状腺切除术后不同甲状腺疾病群体中和铜的变化.
主要方法:
- 一项涉及42名患有甲状腺疾病的患者的横截面研究.
- 患者被划分为分化甲状腺癌 (乳头和卵泡) 和多节 (MNG) 组.
- 在全甲状腺切除术前和4天后测量血清和铜水平.
主要成果:
- 总体而言,在全甲状腺切除术后4天,血清水平显著下降 (p=0.01).
- 甲状腺切除术后血清铜水平没有显著变化 (p=0.93).
- 在差异化甲状腺癌患者中,水平显著下降 (p=0.04),而在MNG患者中,的下降并不显著 (p=0.14).
结论:
- 整体甲状腺切除术导致血清水平在手术后4天内显著下降.
- 血清铜水平在短期内在很大程度上不受全甲状腺切除术的影响.
- 这些发现凸显了甲状腺切除术对平衡的潜在影响,特别是在甲状腺癌患者中.
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