期刊论文详细信息
Revista Brasileira de Otorrinolaringologia
Prospective study of clinical and laboratorial hypocalcemia after thyroid surgery
Nardi, Carlos Eduardo Molinari1  Pfuetzenreiter Jr, Elio Gilberto2  Dedivitis, Rogério Aparecido3  Barbara, Emmanuel Casotti Duque de4 
[1] Fundação Lusíada;Hospital Ana Costa, Santos;Hospital Heliópolis, São Paulo;Irmandade da Santa Casa da Misericórdia de Santos
关键词: postoperative complications;    thyroid diseases;    parathyroid glands;    hypocalcemia;    thyroidectomy.;   
DOI  :  10.1590/S1808-86942010000100012
学科分类:医学(综合)
来源: Associacao Brasileira de Otorrinolaringologia e Cirurgia Cervicofacial
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【 摘 要 】

Hypocalcemia can be detected clinically and through lab tests after thyroidectomy. AIM: To analyze the incidence and risk factors of clinical and laboratorial hypocalcemia after thyroid surgery. METHODS: Prospective study of 91 patients undergoing thyroidectomy. Demographics, intraoperative, and pathological aspects were correlated to our hypocalcemia findings. RESULTS: Age higher than 50 (p = 0.022) and complete thyroidectomy (p < 0.001) were considered risk factors for hypoparathyroidism. Complete thyroidectomy was considered a risk factor for the 48-hour laboratorial hypoparathyroidism (p = 0.004). There was no risk factor associated with the one-month laboratorial hypoparathyroidism. There was significance between the 48-hour and the one-month laboratorial hypoparathyroidism. CONCLUSIONS: Thyroidectomy extension is a risk factor for both the clinical and laboratorial hypoparathyroidism, whereas age is a risk factor for clinical hypoparathyroidism. The detection of 48-hour laboratorial hypoparathyroidism is a predisposing factor for the one-month laboratorial hypoparathyroidism. However, most of the cases were temporary.

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