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首页> 外文会议>IEEE International Conference on Serious Games and Applications for Health >Protection of parathyroid glands in thyroid surgery and treatment of postoperative hypocalcemia
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Protection of parathyroid glands in thyroid surgery and treatment of postoperative hypocalcemia

机译：甲状旁腺在甲状腺手术和术后低钙血症治疗中的保护

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Background: Hypoparathyroidism is one of the most frequent and serious complications of the thyroid surgery. Preservation of parathyroid glands (PGs) and treatment of postoperative hypocalcemia are key factors. The aim of this review is to evaluate the relevant literature and provide the clinician guidance for preservation of PGs and the formulation of individualized therapeutic strategies for patients with postoperative hypocalcemia. Methods: This was a review of preservation of PGs in thyroidectomy procedures and treatment strategies for postoperative hypocalcemia. Results: In-depth knowledge of the anatomy of PGs along with relations and an adequate preoperative assessment are the cornerstone for surgeons performing safe thyroid parathyroid surgeries. The “capsular dissection” of the thyroid lobe is the key technique to protect PGs and their supply blood vessels; the intraoperative parathyroid autotransplantation if the occasion should arise is an effective method to prevent definitive hypoparathyroidism. The patients after thyroidectomy are given monitoring of the serum calcium and parathyroid hormone (PTH); the early combinational supplement treatment of calcium and calcitriol effectively prevent postoperative hypocalcemia. Conclusion: To master the anatomic regularity of PGs, intraoperative in-situ conservation and autotransplantation of PGs, and postoperative individualized therapeutic strategies of hypoparathyroidism are effective methods to avoid hypocalcemia in thyroid surgery.
机译：背景：Hyparathatroidism是甲状腺手术中最常见和严重的并发症之一。甲状旁腺保存和术后低钙血症的治疗是关键因素。本综述的目的是评估相关文献，并为术后低钙血症患者提供PGS保存的临床医生指导和制定个性化治疗策略。方法：这是术后低钙血症甲状腺切除术治疗保存PGS的综述。结果：对PGS解剖学以及关系的深入知识以及充分的术前评估是表演安全甲状腺甲状旁腺手术的外科医生的基石。甲状腺叶的“囊型解剖”是保护PGS及其供应血管的关键技术;如果出现的情况是防止最终过胆管性功能亢进的有效方法，则术中甲状旁腺固定剂。甲状腺切除术后的患者对血清钙和甲状旁腺激素（PTH）进行监测;钙和钙质的早期组合治疗有效防止术后低钙血症。结论：掌握PGS的解剖规律，PGS的术中原位保护和自聚体持续性，术后术后术后术治疗策略是避免甲状腺手术中低钙血症的有效方法。

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