述评(Commentary)

甲状腺术后甲状旁腺功能低下的恢复和治疗

Published at: 2016年第25卷第11期

李新营 1 , 彭瑶 1
1 中南大学湘雅医院 普通外科甲状腺外科,湖南 长沙 410008
通讯作者 新营 李 Email: lixinyingcn@126.com
DOI: 10.3978/j.issn.1005-6947.10.3978/j.issn.1005-6947.2016.11.004
基金:

摘要

甲状旁腺功能低下引起的低钙血症是甲状腺手术后的常见并发症,严重影响患者的生活质量。手术因素、术后处理以及患者和疾病自身因素与术后低血钙发生密切有关。促进术后甲状旁腺功能的恢复对防止永久性甲状旁腺功能低下具有重要意义。补充钙剂和维生素D制剂是治疗术后低血钙的主要方法,同时应注意防治长期使用钙剂导致的并发症。甲状旁腺激素替代治疗将来有望成为治疗甲状旁腺功能低下的重要方法。


Recovery and management of hypoparathyroidism following thyroid surgery

Abstract

Hypoparathyroidism-induced hypocalcemia is a common complication following thyroid surgery, which considerably impairs the patient’s quality of life. Surgery-related factors and postoperative management as well as patient- and disease-related factors, are closely associated with the occurrence of postoperative hypocalcemia. Accelerating the recovery of postoperative function of the parathyroid glands has significant importance in prevention of permanent hypoparathyroidism. Supplementary calcium and vitamin D intake is the main treatment method for hypoparathyroidism, but at the same time, the complications related to long-term use of calcium supplements should be prevented and treated accordingly. Parathyroid hormone replacement therapy promises to be an important treatment of hypocalcium after thyroidectomy.


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引用

引用本文: 新营 李, 瑶 彭. 甲状腺术后甲状旁腺功能低下的恢复和治疗[J]. 中国普通外科杂志, 2016, 25(11): 1544-1549.
Cite this article as: LI Xinying, PENG Yao . Recovery and management of hypoparathyroidism following thyroid surgery[J]. Chin J Gen Surg, 2016, 25(11): 1544-1549.