갑상선 전절제술 후 이온화 칼슘 변화에 따른영구적 부갑상선 기능 저하증의 예측 시점 및 위험 인자
Postoperative Change of Ionized Calcium Level after Total Thyroidectomy and Risk Factors of Postoperative Permanent Hypoparathyroidism
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Abstract
Background and Objectives：The aims of this study were to evaluate postoperative change of ionized calcium level in relation to clinical symptoms of hypoparathyroidism after total thyroidectomy and to find risk factors of postoperative permanent hypo-parathyroidism. Subjects and Method：A retrospective study of 118 patients who had underwent total thyroidectomy between tration was obtained daily. Results：The incidence of postoperative permanent hypoparathyroidism was 11% (13/118). In the permanent hypocalcemic group, compared with normocalcemic and transient hypocalcemic group, folowing characteristics were related: increased incidence of hypocalemia from postoperative second day, advanced T stage, anaplastic cancer. Conclusion：found that when the second postoperative days ionized calcium level is below the normal range, daily blood sampling has to be done to detect continuous hypocalcemia.
참고문헌 (10)
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