Influence of Different Surgical Treatments of Thyroid Cancer on the Function of Parathyroid
XIE Shan-shan
GAO You-bing
WU Li-yuan
Abstract：Objective To discuss the influence of different surgical treatment of thyroid cancer on parathyroid hormone (PTH) and serum calcemia, and conclude prevention measures about hypoparathyroidism.Methods A total of 234 thyroid cancer patients with different operative types of thyroid cancer in authors, hospital from January 2013 to December 2014 were retrospectively reviewed.The incidences of hypoparathyroidism, preoperative and postoperative PTH and serum calcium changes were observed.Results The overall rate of hypoparathyroidism was 29%.Hypoparathyroidism rates of each operative types were compared: total thyroidectomy+neck lymph node extended dissection>total thyroidectomy+bilateral central lymph node dissection>total thyroidectomy+ipsilateral central lymph node dissection>total thyroidectomy>unilateral lobectomy+side lobe near-total thyroidectomy+ipsilateral central lymph node dissection.Postoperative 1 day, PTH and serum calcium levels were significantly decreased than those before the operation.Conclusion Postoperative parathyroid functions are variously associated with thyroid cancer surgeries and operative extent.The greater the scope of operation, the more possibilities and degrees of postoperative hypoparathyroidism and hypocalcemia.The protection of parathyroid glands and its artery are important for postoperative hypoparathyriodism prevention
Keywords：Thyroid cancerThyroidectomyParathyroid hormoneHypoparathyroidismHypocalcemia
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 390-393 )