纳米碳在甲状腺癌手术中甲状旁腺保护应用.docVIP

纳米碳在甲状腺癌手术中甲状旁腺保护应用 　　[摘要] 目的 探讨纳米碳在甲状腺癌术中的应用及其对甲状旁腺的保护作用。方法 根据患者术中是否应用纳米碳整群选取该院于2013年5月―2015年6月收治的94例甲状腺癌手术患者分成甲（应用了纳米碳）、乙（未应用纳米碳）两组各47例，观察两组手术效果。结果 术后，两组患者血钙与PTH水平差异有统计学意义（P0.05），且甲组出现低钙症状、PTH暂时性减低与PTH永久性减低发生率均显著低于乙组（P0.05）；且甲组患者平均甲状旁腺数（2.85±0.79）枚，误切率为0%，同乙组的（2.05±0.72）枚、8.51%相比，差异有统计学意义（P0.05）。 结论 在临床甲状腺癌手术中，合理应用纳米碳，可明显减少患者低钙与HPT情况的发生率，降低甲状旁腺误切率，效果显著，值得推广。 　　[关键词] 甲状腺癌；纳米碳；甲状旁腺保护 　　[中图分类号] R5 [文献标识码] A [文章编号] 1674-0742（2016）03（c）-0130-03 　　Application of Nanocarbon in the Thyroid Cancer Operation and Protection Effect on Epithelial Body 　　LI Lei-lei， PENG Yun， QIU Zheng-lun 　　Third Department of General Surgery， Luoyang Central Hospital Affiliated to Zhengzhou University， Luoyang， Henan Province， 471009 China 　　[Abstract] Objective To discuss the application of nanocarbon in the thyroid cancer operation and protection effect on epithelial body. Methods 94 cases of patients with thyroid cancer operation admitted and treated in our hospital from May 2013 to June 2015 were divided into the group A （applied nanocarbon） and the group B （did not apply nanocarbon） with 47 cases in each， the operative effects of the two groups were observed. Results The differences in the blood calcium and PTH level between the two groups were obvious after operation， P0.05， the incidence rates of symptomatic hypocalcemia， PTH temporary reduction and PTH permanent reduction in the group A were obviously lower than those in the group B， P0.05， and the differences in the average epithelial body number and mal-cut rate between the group A and the group B were obvious [（2.85±0.79） vs （2.05±0.72）]， （0% vs 8.51%）， P0.05. Conclusion The reasonable application of nanocarbon in the thyroid cancer operation in clinic can obviously reduce the incidence rate of low calcium and HPT of patients and reduce the mal-cut rate of epithelial body with the obvious effect， which is worth promotion. 　　[Key words] Thyroid cancer； Nanocarbon； Epithelial body protection 　　该研究整群选取该院于2013年5月―2015年6月收治的94