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甲状腺术中对甲状旁腺的保护是保证手术成功的关键环节之一。在非甲状腺全切除术中对甲状旁腺的保护多采用的是“远离”的原则,但在甲状腺全切除术中,尤其是同时需行颈淋巴结清扫的甲状腺癌的手术中,该原则就不太适宜应用了。本文总结了165例甲状腺全切除术中甲状旁腺保护的经验,现报告如下。资料与方法1.一般资料:选取2005年1月至2006年6月我中心同一医疗小组完成的甲状腺全切除术165例,其中原发首次手术者129例,1个月内再次手术者36例,不包括复发后再手术病例。男性35例,女性130例,年龄8～76岁,中位年龄47.5岁。原发疾病均为甲状腺癌,其中乳头状癌157例,滤
Thyroid surgery to protect the parathyroid gland is one of the key links to ensure the success of surgery. In the total thyroidectomy for the protection of the parathyroid paralysis is to use more “away from ” principle, but in total thyroidectomy, especially at the same time need for cervical lymph node dissection of thyroid cancer surgery, the principle It is not suitable for application. This article summarizes the 165 cases of thyroidectomy thyroidectomy experience, are as follows. Materials and Methods 1. General Information: Select from January 2005 to June 2006 my center the same medical team completed 165 cases of total thyroidectomy, of which 129 cases of primary surgery, 36 cases of reoperation within 1 month , Excluding recurrence and surgery cases. 35 males and 130 females, aged from 8 to 76 years, with a median age of 47.5 years. Primary diseases are thyroid cancer, papillary carcinoma in 157 cases, filter