Influence of Different Thyroid Surgery Methods on the Function of Parathyroid Glands

Hangcheng TIAN; Ruochuan CHENG; Yingsheng BAO; Yuhua ZHANG; Jun HAN; Hongmei KUANG; Changwei ZHOU

doi:10.12259/j.issn.2095-610X.S20220719

Volume 43 Issue 7

Jul. 2022

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Article Navigation > Journal of Kunming Medical University > 2022 > 43(7): 92-96

Hangcheng TIAN, Ruochuan CHENG, Yingsheng BAO, Yuhua ZHANG, Jun HAN, Hongmei KUANG, Changwei ZHOU. Influence of Different Thyroid Surgery Methods on the Function of Parathyroid Glands[J]. Journal of Kunming Medical University, 2022, 43(7): 92-96. doi: 10.12259/j.issn.2095-610X.S20220719

Citation:

Hangcheng TIAN, Ruochuan CHENG, Yingsheng BAO, Yuhua ZHANG, Jun HAN, Hongmei KUANG, Changwei ZHOU. Influence of Different Thyroid Surgery Methods on the Function of Parathyroid Glands[J]. Journal of Kunming Medical University, 2022, 43(7): 92-96. doi: 10.12259/j.issn.2095-610X.S20220719

Citation:

Hangcheng TIAN, Ruochuan CHENG, Yingsheng BAO, Yuhua ZHANG, Jun HAN, Hongmei KUANG, Changwei ZHOU. Influence of Different Thyroid Surgery Methods on the Function of Parathyroid Glands[J]. Journal of Kunming Medical University, 2022, 43(7): 92-96. doi: 10.12259/j.issn.2095-610X.S20220719

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Influence of Different Thyroid Surgery Methods on the Function of Parathyroid Glands

doi: 10.12259/j.issn.2095-610X.S20220719

1.
Dept. of General Surgery，The People’s Hospital of Dehong，Dehong Yunnan 678400
2.
Dept. of Thyroid Surgery，The 1st Affiliated Hospital of Kunming Medical University，Yunnan Clinical Research Center of Thyroid Surgery，Kunming Yunnan 650032，China

Received Date: 2022-04-18
Available Online: 2022-06-25
Publish Date: 2022-07-14

Abstract

Abstract

Objective To explore the influence of different thyroid surgery methods on the function of parathyroid glands. Methods We analyzed the clinical data of 60 patients undergoing thyroid surgery, including 30 cases in the subtotal thyroidectomy group and 30 cases in the total thyroidectomy group. Then we compared the preoperative PTH, the level of PTH and the degree of decrease in PTH in one week after the operation, as well as the preoperative blood calcium content, the level of blood calcium content and the decrease in blood calcium content one week after the operation. Results No difference was found in preoperative clinical data between the two groups （P > 0.05）. There was no significant difference in PTH [（46.71±11.52） ng/L vs（46.23±11.74） ng/L, P > 0.05] and blood calcium levels [（1.85±0.47） mmol/L vs（1.88±0.39） mmol/L, P > 0.05] between the two groups before surgery. One week after the operation, the PTH and blood calcium of the two groups were lower than before the operation. The PTH [（23.35±6.42） ng/L vs （32.18±9.51） ng/L, P < 0.05] and blood calcium levels [（1.42±0.31） mmol/L vs （1.75±0.21）mmol/L, P < 0.05] in the total thyroidectomy group were significantly lower than those in the subtotal thyroidectomy group. The degree of decrease in PTH [（49.5±5.1%） vs （31.1±3.5%）, P < 0.05] and blood calcium levels [（24.5±2.31%） vs （5.4±0.5%）, P < 0.05] were significantly higher than the subtotal thyroidectomy group. Total thyroidectomy group parathyroid detection rate was significantly higher than the subtotal thyroidectomy group （26.67%比3.33%, P < 0.05）. Conclusion Different thyroid surgery methods will lead to different degrees of postoperative hypoparathyroidism, and total thyroidectomy has a more significant impact than subtotal thyroidectomy.
- Thyroid surgery,
- Hypoparathyroidism,
- Hypocalcemia

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References(15)

References

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