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find Author "詹想想" 2 results
  • 甲状腺微小乳头状癌的手术诊疗分析

    目的探讨甲状腺微小乳头状癌(PTMC)的诊断及手术治疗的必要性。 方法回顾性分析昆明医科大学第一附属医院甲状腺外科2015年6月至2016年2月期间收治的110例PTMC患者的资料,并对其临床特点予以总结。 结果110例PTMC患者中伴颈部淋巴结转移者(包括Ⅱ~Ⅵ区)76例(69.09%),多灶性癌34例(30.91%),肿瘤突破包膜者(cT3-4)12例(10.91%)。 结论PTMC依然具备一定的侵袭性,应重视术前诊断和术中快速冰冻活检,掌握PTMC的临床特点,及时手术治疗可使患者获益。

    Release date:2016-10-25 06:10 Export PDF Favorites Scan
  • Clinical analysis of 7 cases of parathyroid insufficiency after total thyroidectomy

    ObjectiveTo introduce patients with long-term hypocalcemia and normal parathyroid hormone (PTH) values after total thyroidectomy, and to analyze the possible causes of this phenomenon. MethodsThe medical records of 1 010 consecutive patients with total thyroidectomy treated in the Center for Diagnosis and Treatment of Thyroid Disease, the First Affiliated Hospital of Kunming Medical University from January 2019 to December 2020 were collected. Seven patients with normal PTH and blood calcium before operation and at least 2 times of PTH with hypocalcemia detected more than 6 months after operation were followed-up to understand the symptoms of hypocalcemia, vitamin D level and calcium consumption. ResultsSeven patients with thyroid papillary carcinoma underwent total thyroidectomy without parathyroid autotransplantation, and there were 6 cases with mild deficiency or insufficient of vitamin D before operation. The follow-up time was 12–28 months, and the median follow-up time was 19 months. Seven patients developed hypocalcemia after continuous administration of calcium and calcitriol, and vitamin D levels remained mild deficiency or insufficient, PTH decreased by more than 50% in 6 patients one year after operation compared with that before operation. ConclusionsPatients with long-term normal PTH values and hypocalcemia after total thyroidectomy have obviously lower PTH levels than those before operation. The possible factors are parathyroid damage during operation and vitamin D deficiency. Such these patients should be more properly referred to as “parathyroid insufficiency”.

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