갑상선암에서 갑상선전절제술 후 저칼슘혈증의 예측

• 영문명: Predicting Hypocalcemia after Total Thyroidectomy in Patients with Thyroid Carcinoma
• 발행기관: 대한내분비외과학회
• 저자명: 강병규 조민수¹ 배금석 강성준 Byung Gyu Kang M.D. Min Su Cho M.D.¹ Keum Seok Bae M.D. and Seong Joon Kang M.D.
• 간행물 정보: 『The Koreran journal of Endocrine Surgery』8권4호, 256~259쪽, 전체 4쪽
• 주제분류: 의약학 > 일반외과학
• 파일형태: PDF
• 발행일자: 2008.12.30

영문 초록

Purpose: Postoperative hypocalcemia is a common complication compared with the other complications following total thyroidectomy due to thyroid carcinoma. We evaluated the incidence of transient and permanent hypocalcemia and the preservation status of the parathyroid glands following total thyroidectomy due to thyroid carcinoma. Methods: We analyzed a total of 145 cases of total thyroidectomy due to thyroid carcinoma. The preservation status of the prarathyroid glands after total thyroidectomy was classified as intact preservation or ischemic change, according to the number of intact preserved parathyroid glands in group 1 (more than 2), group 2 (1) or group 3 (0). Results: Permanent hypocalcemia was not found in group 1. The rate of transient or permanent hypocalcemia was significantly lower in group 2 than that in group 3 (P＜ 0.05). Conclusion: The parathyroid glands should be preserved to minimize the occurrence of hypocalemia after performing total thyroidectomy. The number of intact preserved parathyroid glands can be a good indicator for predicting the occurrence of post-total thyroidectomy hypocalcemia. (Korean J Endocrine Surg 2008;8:256-259)

키워드

저칼슘혈증, 갑상선암, 부갑상선,Hypocalcemia, Thyroid cancer, Parathyroid