Thyroid Surgery To The Influence Of Parathyroid Function And Serum Calcium, Clinical Observation

Purpose:To observe the effect of thyroid gland surgical operation to A-like in shape side gland function and serum calcium.Material and method:Patients were from Jilin center hospital from January,2006to November,2011. The sufferer is total1244,, men and women’s proportion about1:5. the average age is50.5years old. The disease that adopts a surgical operation treatment includes:1, the knot stanza goiter2, thyroid gland cancer3, thyroid gland function the Kang enter,4, thyroid gland gland lump5, bridge originally surname disease. Dynamic monitoring calcium after the operation..Result:The sufferer of1244routine thyroid gland surgical operations appears a low calcium blood disease of300among them.(24.12%)Go a thyroid gland double among them the side whole resectionses+neck the lymphoid close account sweep Shu sufferer’s13(100%);278(90.64%) goes thyroid gland one side leaf’s whole resectionseses+the downdepartment cut off+cut off to the side part;432(6.48%) goes a thyroid gland double side leaf time whole resection sufferer;198(2.02%) Do thyroid gland one side leaf time whole excisions+to side part excision sufferer of leaf;323(0.92%) Do the thyroid gland list side gland part excision sufferer of leaf.Permanence in300low calcium patients low calcium blood the disease is13, all have clinical symptom.The operate gives behind with visit up to now.Palliation low calcium blood disease287:Have no symptom|there is symptom=163|is124.Appear clinical symptom serum calcium all<1.80mmols/L.Give to take orally to the one who have clinical symptom or the vein add a calcium treatment, palliation low calcium blood disease and permanence low calcium blood disease on the3rd-internal disease-like in shape alleviate disappearance on the7th, the examination blood calcium value can resume to approach normal scope.But permanence the low calcium blood disease give to life long repair a calcium treatment.After operationthe thyroid gland patient appears of the serum calcium descend(P<0.05), the Shu attains on the2nd day behind lowest.(P<0.01)To16patients respectively examine before the Shu and PTH be worth after the Shu.Before the operate, the PTH value after the Shu carry on a comparison, the operate all has been already descended behind, and the elucidation after operation low blood calcium contains relativity with PTH bad value.(P<0.05) Conclusion:(1) Nodular goiter’s morbidity is1st in these case.(2)Thyroid gland double the side whole resectionses+neck lymphoid close account’s sweeping Shu and thyroid gland is one side leaf’s whole excisionseses+the down thyriold cut off+to the side parts of resection etc. scope bigger sufferer and again surgical operation or two above surgical operations sufferer Shu a little bit easily appear low calcium blood behind disease.Thyroid gland one side leaf time whole excisions+to side leaf parts of resections, the thyroid gland list side gland leafs appearing low calcium blood after parts of resection Shus disease isn’t very obvious.Its occurrence and thyroid gland cut off quantity just related.(3) Postoperative hypocalcemia is temporary, it was going to recovery in7days.(4) The operation effected parathyroid function.PTH secretes shortage to cause low calcium blood after the operare disease.(5)Acquaint with thyroid gland dissection position, understand A-like in shape side gland appearance, in the Shu cautiously recognize combine and fat, lymphoid the knot is careful to recognize.Notice to protect a thyroid gland blood supply.The surgical operation has to be light and soft, ligaturing2,3class blood vessels can avoid breaking A-like in shape side gland blood to provide.(6) The incidence of hypocalcemia was reduced after the cases were given calcium.