全甲状腺切除术后低钙血症的发生率和结果

Naser A. Zaher, Emad M. Abdelrahman, Atef A. Salem, Mohamed M. Debes, Marwa M. Yosry, Mohamed E. Zayed
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摘要

背景:由于甲状旁腺功能减退症发病率高,且缺乏完善的术前指标,因此是一个严重的问题。研究目的本研究的主要目的是找出甲状腺全切除术后预测低钙血症的特征。患者和方法在这项前瞻性分析中,共纳入了 123 名甲状腺切除术候选患者。对这些患者的早期低钙血症症状和潜在风险因素进行了监测。研究结果研究对象的平均年龄为 47.22 ± 12.2 岁。低钙血症在 40-50 岁年龄组明显。结果显示,复发性甲状腺肿、格拉夫病、恶性甲状腺肿和阻滞性颈部切除术与术后低钙血症有显著相关性。结论恶性甲状腺肿、格拉夫病(GD)和复发性甲状腺肿是导致全甲状腺切除术后低钙血症的独立危险因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Incidence and Outcome of Hypocalcaemia after Total Thyroidectomy
Background: Due to its prevalence and the absence of well-established preoperative indicators, hypoparathyroidism poses a significant problem. Objective: This study aimed to find characteristics that predict hypocalcemia after total thyroidectomy was the primary goal of this investigation. Patients and methods: In this prospective analysis, 123 patients who were candidates for a thyroidectomy were enrolled. Early hypocalcemia symptoms and potential risk factors were monitored in these individuals. Results: The mean age of the studied patients was 47.22 ± 12.2 years. Hypocalcemia was significantly evident in the age group between 40-50 years. Results showed that recurring goiter, Grave's disease, malignant goiter and block neck dissection were significantly correlated with postoperative hypocalcemia. Conclusion: Malignant goiter, Grave’s disease (GD) and recurrent goiter are independent risk factors for post total thyroidectomy hypocalcemia.
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