갑상선 전절제술 후 이온화 칼슘 변화에 따른영구적 부갑상선 기능 저하증의 예측 시점 및 위험 인자

남순열; 박정제; 최승호; 김상윤; 김종양

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자료유형: 학술저널

저자정보: 남순열 박정제 최승호 김상윤 김종양

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제47권 제11호

발행연도: 2004.1

수록면: 1,159 - 1,163 (5page)

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연구주제

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연구배경

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연구방법

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연구결과

초록· 키워드

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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.

#갑상선 절제술·부갑상선기능저하증·저칼슘 #Thyroidectomy· Hypocalcemia· Hypoparathyroidism.

참고문헌 (10)

참고문헌 신청

Ahn SY / 1999 / Hypocalcemia followed by totalthyroidectomy with central neck dissection 42 : 1555 ~ 1560

Andersen PE / 2002 / The predictivevalue of perioperative calcium levels after thyroid/parathyroid surgery 24 : 63 ~ 67

Ershine C / 2000 / Hypomagnesemia and hypocalcemiaafter thyroidectomy:Prospective study 24 : 722 ~ 726

Hier MP / 2002 / Predicting calciumstatus postthyroidectomy with early calcium levels 127 : 289 ~ 293

Joo HB / 2001 / Complications followingthyroid surgery 44 : 522 ~ 527

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