갑상선 수술시 우연히 절제된 부갑상선과 저칼슘혈증과의 관계

신준순; 주영채; 김재원; 최정석; 김영모

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자료유형: 학술저널

저자정보: 신준순 주영채 김재원 최정석 김영모

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제47권 제8호

발행연도: 2004.1

수록면: 756 - 759 (4page)

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Background and Objectives：Preservation of parathyroid gland during thyroid surgery is important to prevent postoperative hypocalcemia. We evaluated the incidence of unintentional parathyroidectomy during thyroid surgery and postoperative hypocalcemia, and their clinical relationships. Materials and Method：136 patients who had undergone thyroid surgery were retrospectively followed. We reviewed the pathology specimens to determine the incidence of unintentional removal of parathyroid tissue and inquired the incidence of postoperative hypocalcemia according to the pathology of tumor, the extent of surgery, and the locations of the parathyroid tissues. Results：27 patients (19.9%) had pathology reports showing parathyroid tissue contained within the thyroidectomy specimen. Unintentional parathyroidectomy was less correlated with postoperative transient hypocalcemia statistically. The postoperative transient hypocalcemia was more frequent after total thyroidectomy for malignant thyroid tumor than hemithyroidectomy for benign thyroid tumor. Most parathyroid tissues were found in extracapsular locations. Conclusion： Unintentional parathyroidectomy was reported in 19.9% of the thyroidectomies in our studies. More meticulous dissection of thyroid capsule may be needed, especially during total thyroidectomy for malignant thyroid tumor.

#갑상선 절제술·부갑상선 절제술·저칼슘혈증. #· Parathyroidectomy· Hypocalcemia.

참고문헌 (12)

참고문헌 신청

/ 1983 / Retrieval of the parathyroid glands during thyroidectomy 5 : 268 ~ 269

/ 1985 / The mechanism of hypocalcemiafollowing thyroidectomy 109 : 220 ~ 226

/ 1986 / Post-thyroidectomy hypocalcemia:Incidence and risk factors 152 : 606 ~ 610

/ 1987 / Hypocalcemia following thyroid surgery 74 : 861 ~ 862

/ 1988 / Temporary postthyroidectomy hypocalcemia 114 : 168 ~ 174

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