Postthyroidectomy Hypocalcemia

L. Enny, Faraz Ahmad, Kulranjan Singh, Anand Kumar Mishra
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Abstract

Objective: The aim of this study was to determine if bilateral inferior thyroid artery (ITA) ligation is a causal factor for the occurrence of postoperative hypocalcaemia after subtotal thyroidectomy. Study design : Quasi experimental trial. Place and duration of study : One year study from Jan 2005 to Dec 2005 conducted at surgical department of Rawalpindi General Hospital (UNIT–I). Patients and Methods : One hundred patients were included in the study who underwent subtotal thyroidectomy with and without truncal ligation of inferior thyroid artery and were prospectively analyzed comparing postoperative and late serum calcium levels. Result: A significant incidence of postoperative hypocalcaemia occurred: more in Group A (48%) as compared to Group B (22%). This difference was statistically significant shown by the P value < 0.5 on the 1st postoperative day in patients with ligation of inferior thyroid artery. Conclusion : The ligation of the ITA tends to produce hypocalcaemia in patients undergoing subtotal Thyroidectomy.
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甲状腺切除术后低钙血症
目的:本研究的目的是确定双侧甲状腺下动脉(ITA)结扎是否是甲状腺次全切除术后发生低钙血症的原因。研究设计:准实验试验。研究地点和持续时间:2005年1月至2005年12月在拉瓦尔品第综合医院外科进行的为期一年的研究。患者和方法:本研究纳入了100名接受甲状腺次全切除术的患者,这些患者在接受和不接受甲状腺下动脉干结扎的情况下,对术后和晚期血清钙水平进行了前瞻性分析。结果:术后低钙血症发生率显著:A组(48%)高于B组(22%)。甲状腺下动脉结扎患者术后第1天的P值<0.5,显示出这种差异具有统计学意义。结论:在接受甲状腺次全切除术的患者中,结扎ITA容易导致低钙血症。
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