하시모토갑상선염 동반여부에 따른 갑상선전절제술 후 부갑상선기능저하증의 특징 분석

• 영문명: Characteristics of Hypoparathyroidism after Total Thyroidectomy with or without Hashimoto Thyroiditis
• 발행기관: 대한내분비외과학회
• 저자명: 이동명 김은영 정일용 김성엽 안은정 박종민 박세혁 윤여규 Dongmyung Lee Eunyoung Kim Ilyong Chung Seongyup Kim Eunjung Ahn Jong-min Park Seihyeog Park Yeo-Kyu Youn
• 간행물 정보: 『The Koreran journal of Endocrine Surgery』14권4호, 195~199쪽, 전체 5쪽
• 주제분류: 의약학 > 일반외과학
• 파일형태: PDF
• 발행일자: 2014.12.30

영문 초록

Purpose: The characteristics of hypoparathyroidism in patients with Hashimoto thyroiditis (HT) after total thyroidectomy are not well established. The aim of this study was to investigate the relationship between hypoparathyroidism and loss of parathyroid glands in patients with or without HT who underwent total thyroidectomy. Methods: Patients who underwent total thyroidectomy were divided into two groups; with HT (n=166) and without HT (n=526). Clinicopathologic characteristics were compared between the two groups. Results: The mean numbers of parathyroid glands in specimens were significantly smaller in the with HT group than in the without HT group (0.34±0.51 vs. 0.42±0.58, P=0.003). The rate of transient hypoparathyroidism was significantly higher in the with HT group than in the without HT group (51.8% vs. 34.6%, P=0.000). Serum total calcium levels in patients who experienced transient hypoparathyroidism did not differ significantly between groups (P=0.335). The incidence of transient hypoparathyroidism of patients who preserved all four parathyroid glands or sacrificed one parathyroid gland was higher in the with HT group than in the without HT group, although that of patients who sacrificed two or more parathyroid glands was similar between groups. The incidence of permanent hypoparathyroidism in the two groups did not differ (P=0.546). Conclusion: Patients with HT had a higher rate of transient hypoparathyroidism after total thyroidectomy, particularly patients who preserved all four or three parathyroid glands. It is likely that the blood supply to the parathyroid gland might be vulnerable in patients with HT. Therefore, even though all parathyroid glands were preserved, careful monitoring of hypoparathyroidism is necessary after total thyroidectomy in patients with HT.

키워드

하시모토갑상선염, 갑상선전절제술, 부갑상선기능저하증,Hashimoto thyroiditis, Total thyroidectomy, Hypoparathyroidism