Analysis of Related Factors of Temporary Hypoparathyroidism in Thyroid Cancer
Objective To investigate the related factors of concurrent temporary hypoparathyroidism(tHPP)in postoper-ative thyroid cancer patients.Methods The clinical data of 72 thyroid cancer patients were also retrospectively analyzed.All pa-tients underwent surgical treatment and were divided into tHPP groups and non-tHPP groups based on whether tHPP occurred af-ter surgery.Clinical data on age,sex,body mass index,tumor length,surgical method,tumor side,clinical stage,lymph node dis-section range,parathyroid mis-resection,preoperative vitamin D level and nanocar tracer were collected to analyze independent risk factors of concurrent tHPP after surgery.Results 18 postoperative tHPP occurred in 72 patients with thyroid cancer,The in-cidence rate was 25.00%(18/72);As the univariate factor showed that the tumor length,surgical method,tumor side division,clinical stage,lymph node dissection range,parathyroid mis-resection,preoperative vitamin D level,nanocarp tracer were associat-ed with postoperative concurrent tHPP,The difference was statistically significant(P<0.05);Multiple factors showed that tumor long diameter of 4 cm,open surgery,bilateral tumors,clinical stage-stage,bilateral lymph node dissection range,parathyroid mis-resection,preoperative vitamin D level<26 ng/ml,and absence of nanometer carbon tracer were independent risk factors for the postoperative tHPP(OR>1,P<0.05).Conclusion Tumor long diameter of 4 cm,open surgery,bilateral tumor,clinical stage-stage,lymph node dissection range bilateral,parathyroid mis-resection,preoperative vitamin D level<26 ng/ml,no nanometer carbon tracer as the risk factor of postoperative tHPP in thyroid cancer patients,clinical need to identify these factors as soon as possible and take targeted preventive measures to reduce the occurrence of tHPP.
万方数据
维普
