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中文摘要：
目的：探讨不同甲状腺手术方式对患者围手术期血钙浓度的影响。方法：回顾性分析240例行甲状腺术患者的临床资料及其术后1个月的随访结果。结果：按照手术方式将患者分为4组，分别为单侧次全／完全切除术（组1），单侧全切＋颈部淋巴结清扫术（组2），双侧次全／单侧全切＋对侧次全切除术（组3），单侧全切＋对侧次／近全切除术＋颈部淋巴结清扫术（组4）。与组1比较，加行一侧颈部淋巴结清扫术的组2患者术后血钙浓度下降的更为显著（P〈0．05），且更倾向于发生低钙血症（P〈0．05）；而与组3比较，加行颈部淋巴结清扫术的组4患者术后血钙浓度下降的更为显著（P〈0．05），且更倾向于发生低钙血症（P〈0．05）。结论：仅行甲状腺切除术并不会影响患者围手术期血钙浓度，而加行颈部Ⅵ区淋巴结清扫术会增加患者发生围手术期低钙血症的概率。
英文摘要：
Objective： To discuss the influence of different thyroidectomy on perioperative blood calcmm concentra- tion. Method：Total number of patients was 240. These patients of thyroid tumors were recruited. Clinical and follow-up datum were retrospective analyzed. Result： Patients were divided into four groups by different operative methods. Group one was patients taken one-side thyroidectomy, group two taken one-side lymph node dissection plus, group three taken two-sides thyroidectomy,and group four taken one or two sides lymph node dissection plus. Group two was easier to be- come hypocaleemia and their calcium concentration decreased more remarkably, compared with group one. Patients taken two-sides thyroidectomy had the familiar outcome. Conclusion： Patients taken lymph node dissection were easier to become hypocalcemia, compared with patients only taken thyroidectomy.
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