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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한이비인후과학회 Clinical and Experimental Otorhinolaryngology Clinical and Experimental Otorhinolaryngology 제10권 제3호
- 발행연도
- 2017.1
- 수록면
- 265 - 271 (7page)
이용수
초록· 키워드
오류제보하기
Objectives. To prevent hypoparathyroidism after thyroidectomy, preservation of the parathyroid glands and their vascularity are essential. The aim of this study was to determine the association between postoperative parathyroid function and the viability of the parathyroid glands during thyroidectomy.
Methods. We prospectively analyzed 111 patients who underwent total thyroidectomy and in whom all 4 parathyroid glands were preserved in situ during the operation. The surgeons scored the viability of each parathyroid gland from 0 (normal) to 3 (severely compromised viability) based on its gross appearance and vascularity intraoperatively. The index of parathyroid viability score (IPVS) was defined as the sum of the viability scores of the 4 parathyroid glands. We evaluated the relationship between postoperative parathyroid function and IPVS.
Results. Transient hypoparathyroidism occurred in 25 patients (22.5%), and permanent hypoparathyroidism in 4 patients (3.6%). The IPVS were significantly different in the three groups: 2.87±1.46 in the normal group, 3.68±1.41 in the transient hypoparathyroidism group and 7.50±1.00 in the permanent hypoparathyroidism group. The rates of transient hypoparathyroidism were 13.6% in patients with IPVS 0–2, 23.8% in patients with IPVS 3–4, and 42.9% in patients with IPVS 5–6. All the patients with IPVS of 7 or more had permanent hypoparathyroidism.
Conclusion. IPVS is correlated with the incidence of hypoparathyroidism. It could be a good quantitative indicator of the probability of hypoparathyroidism after thyroidectomy.
목차
등록된 정보가 없습니다.
참고문헌 (23)
참고문헌 신청
[
Abboud B / 2007 / Careful examination of thyroid specimen intraoperatively to reduce incidence of inadvertent parathyroidectomy during thyroid surgery / Arch Otolaryngol Head
Bentrem DJ / 2001 / Evaluation of serum calcium levels in predicting hypoparathyroidism after total/near-total thyroidectomy or parathyroidectomy / Am Surg 67 (3) : 249 ~ 25
Cavicchi O / 2007 / Transient hypoparathyroidism following thyroidectomy: a prospective study and multivariate analysis of 604 consecutive patients / Otolaryngol Head Neck S
Chia SH / 2006 / Prospective study of perioperative factors predicting hypocalcemia after thyroid and parathyroid surgery / Arch Otolaryngol Head Neck Surg 132 (1) : 41 ~ 45
Abboud B / 2007 / Careful examination of thyroid specimen intraoperatively to reduce incidence of inadvertent parathyroidectomy during thyroid surgery / Arch Otolaryngol Head
Bentrem DJ / 2001 / Evaluation of serum calcium levels in predicting hypoparathyroidism after total/near-total thyroidectomy or parathyroidectomy / Am Surg 67 (3) : 249 ~ 25
Cavicchi O / 2007 / Transient hypoparathyroidism following thyroidectomy: a prospective study and multivariate analysis of 604 consecutive patients / Otolaryngol Head Neck S
Chia SH / 2006 / Prospective study of perioperative factors predicting hypocalcemia after thyroid and parathyroid surgery / Arch Otolaryngol Head Neck Surg 132 (1) : 41 ~ 45
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