부갑상선 점수가 갑상선 전절제술 후 저칼슘혈증을 예측할 수 있을까?

박진희; 박호용; 정진향; 황승욱; 이지연; 권택주; 김완욱

추천

검색

자료유형: 학술저널

저자정보: 박진희 박호용 정진향 황승욱 이지연 권택주 김완욱

저널정보: 대한갑상선-내분비외과학회 The Journal of Endocrine Surgery The Journal of Endocrine Surgery 제15권 제2호

발행연도: 2015.1

수록면: 34 - 40 (7page)

이용수

📌

연구주제

📖

연구배경

🔬

연구방법

🏆

연구결과

초록· 키워드

오류제보하기

Purpose: The aims of this study were to investigate whether parathyroid score can predict hypocalcemia after total thyroidectomy with central lymph node dissection (CLND) and to determine clinical value of parathyroid score for treatment of hypocalcemia.Methods: A prospective review of 209 patients who underwent total thyroidectomy with CLND for papillary thyroid cancer from January to December 2012 was conducted. Parathyroid score was designed based on the number and color of parathyroid preservation (Save and intact color of a parathyroid was 2; Save but mild discoloration was 1.5; Not identification was 1.2; Autotransplantation was 1.0; Sacrifice was -1). Results: The mean numbers of parathyroid glands were as follows: save & intact color was 2.0; save & mild discoloration was 0.8; not identification was 0.8; autotransplantation was 0.4. The average parathyroid score was 6.54±0.69 (range 3.4∼8.0). The average PTH was 16.3 at the 1st POD. Transient and permanent hypocalcemia were 33.4% (70/209) and 0.9% (2/209), respectively. Parathyroid score was 6.78±0.54 in patients without transient hypocalcemia, 5.93±0.67 with hypocalcemia, parathyroid score was significantly lower in transient hypocalcemia, abnormal PTH at the 1st POD (P＜0.001, P＜0.001).Conclusion: Parathyroid score may predict patients at risk of developing transient hypocalcemia after total thyroidectomy with CLND.

#갑상선절제술 #부갑상선점수 #부갑상선호르몬 #저칼슘혈증 #Hypocalcemia #Parathyroid hormone #Parathyroid score #Total thyroidectomy

참고문헌 (24)

참고문헌 신청

Cernea CR / 2010 / How to minimize complications in thyroid surgery? / Auris Nasus Larynx 37 : 1 ~ 5

Chindavijak S / 2007 / Prediction of hypocalcemia in postoperative total thyroidectomy using single measurement of intra-operative parathyroid hormone level / J Med Assoc Th

Cmilansky P / 2014 / Hypocalcemia - the most common complication after total thyroidectomy / Bratisl Lek Listy 115 : 175 ~ 178

El-Sharaky MI / 2003 / Assessment of parathyroid autotransplantation for preservation of parathyroid function after total thyroidectomy / Head Neck 25 : 799 ~ 807

Kihara M / 2000 / Recovery of parathyroid function after total thyroidectomy / Surg Today 30 : 333 ~ 338

함께 읽어보면 좋을 논문

논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!