中国实用外科杂志

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甲状腺手术中甲状旁腺保护要点与技巧

殷德涛,赵    波   

  1. 郑州大学第一附属医院甲状腺外科 河南省高等学校临床医学重点学科开放实验室,河南郑州450052
  • 出版日期:2018-06-01 发布日期:2018-06-21

  • Online:2018-06-01 Published:2018-06-21

摘要:

随着甲状腺癌发病率逐年增长,甲状腺癌术后甲状旁腺功能减退的病人数量也逐年增高,如何预防甲状旁腺功能减退也成为了甲状腺外科医生最关注的焦点之一。手术医生应有强烈的甲状旁腺保护意识,精细化被膜解剖,选择恰当的手术方式,通过术中肉眼辨认、探查、甲状旁腺显影等技术确定其的位置,合理运用高级能量平台,避免对甲状旁腺造成伤害。对于无法原位保留或误切的甲状旁腺,也可通过移植的方法,尽可能降低发生永久性甲状旁腺功能减退的风险。

关键词: 甲状旁腺, 甲状腺手术, 保护

Abstract:

Techniques and skills of protection for the parathyroid gland during thyroid surgery        YIN De-tao, ZHAO Bo. Department of Thyroid Surgery, the First Affiliated Hospital of Zhengzhou University; Key-Discipline Laboratory Clinical Medicine, Zhengzhou 450052, China
Corresponding author : YIN De-tao, E-mail:detaoyin@zzu.edu.cn
Abstract    As the incidence of thyroid cancer increases recently,the number of patients with hypoparathyroidism who get thyroid cancer surgery grows as well.How to prevent hypoparathyroidism seems to have become one of the most vital points for thyroid surgeons. Surgeons should have a strong sense of parathyroid protection, fine anatomy of the membrane, choose the appropriate surgical methods, through the operation of the naked eye identification, exploration, parathyroid development and other techniques to determine its location, rationally use of advanced energy platform to avoid damage to the parathyroid gland. For those parathyroid glands that cannot be retained or mistakenly cut in situ, the risk of permanent parathyroid dysfunction can be minimized by transplantation.

Key words: parathyroid, thyroid surgery, protection