关键词: 甲状腺肿瘤, 甲状旁腺, 暴露和保护

Abstract:

【Abstract】 Objective To investigate the necessity of exposing and protecting parathyroid glands during thyroidectomy. Methods A total of 164 cases that underwent surgical treatment for nodulargoiter or thyroid cancer were randomly divided into two groups,.exposed group and non-exposed group. For non-exposed group.(n=76),.the posterior capsule of thyroid was reserved and the parathyroid glands were not explored during operation. For exposed group(n=88),.the parathyroid glands were exposed and protected from devasation..After operation,.the level of serum calcium was monitored and the function of parathyroid glands was tested dynamically.Results Postoperative incidence of hypopar-athyroidism in patients with exposing and protecting parathyroid glands was significantly lower than that in patients without exposing and protecting parathyroid glands(P<0.05). Conclusion During thyroidectomy, exposing and protecting the parathyroid glands would effectively decrease the incidence of postoperative hypoparathyroidism.

Key words: Thyroidectomy, Parathyroid glands, Exposure and protection