Parathyroidectomy 認識副甲狀腺切除術(英文) ... Parathyroid glands are composed of four glands as big as peas. They are located at the back of the thyroid gland in ...HygieneEducationHealthEducationHomeHygieneEducationParathyroidectomy認識副甲狀腺切除術(英文)HygieneEducationHealthEducationParathyroidectomy認識副甲狀腺切除術(英文)文章分享Home分享至FaceBook分享至LineQrcode列印下載A-A+Parathyroidectomy認識副甲狀腺切除術(英文)2021/3/3Parathyroidglandsarecomposedoffourglandsasbigaspeas.Theyarelocatedatthebackofthethyroidglandintheneck.Insomecases,parathyroidglandsareburiedinthethyroid,thymusorchest.Althoughthelocationmayvary,theirfunctionsaregenerallynormal.Minimallyinvasivesurgeryforhyperparathyroidism,includingendoscopicparathyroidectomyandunilateralneckexplorationunderlocalanesthesia,isperformedforprimaryhyperparathyroidismfromsingleparathyropathy.Minimallyinvasiveparathyroidsurgeryisnotsuitableforthosewithsecondaryhyperparathyroidismduetomulti-glandularlesions.Parathyroidectomyappliesto:Primaryhyperparathyroidism:Iffound,theenlargedglandsmustberemoved.Secondaryhyperparathyroidism:Currently,mostofthesurgicalmethodsaresubtotalparathyroidectomyortotalparathyroidectomypluspartialautologoustransplantation.Multipleendocrineneoplasia:Excisethehyperplasticglandsandlookforotherconcomitanttumors.SurgeryEffectsSurgicalresectionoftheparathyroidsisusuallythemostdirectandeffectivetreatmentforsymptomatichyperparathyroidism.Butatleast20%ofasymptomaticpatientsstillrequiresurgery.Secondaryhyperparathyroidismcancauseskeletal,muscular,neurological,andevencardiovascularsymptomssuchaslimbpainandweakness,bonesoreness,itchyskin,andevencardiovascularobstruction.SurgicalRisksThefollowingcomplicationsandrisksmayoccurduringparathyroidectomy:Theincidenceofpostoperativewoundinfectionislessthan1%.Edemaorbruisingappearsnearthewoundafteroperation.Postoperativebleedingcauseshematoma,whichmostlyoccurswithin2to4hoursaftersurgery,butmayoccurwithindozensofminutesaftersurgery.Whenthehematomaistoolarge,itsometimescausesdyspneaandmustbetreatedurgently.Theincidencei