甲状旁腺自体移植不同手术方式对比性临床分析-外科学专业论文.docxVIP

万方数据 万方数据 目 录 中文摘要 ······························································································（1） 英文摘要 ······························································································（2） 论文题目 ······························································································（4） 材料与方法 ···························································································（4） 结果··································································································· （6） 讨论··································································································· （7） 结论··································································································· （13） 参考文献 ···························································································· （15） 文献综述 ···························································································· （18） 参考文献 ···························································································· （25） 缩略语表 ···························································································· （29） 攻读学位期间发表文章情况 ···································································· （30） 个人简历 ···························································································· （31） 致谢···································································································（32） 内蒙古医科大学硕士研究生学位论文（2015） 1 中文摘要 目的 1、评估甲状旁腺注射法自体移植的可行性 2、对比甲状旁腺自体移植单点注 射和多点注射有效性差异，评估有无统计学意义 3.探讨移植物术后发挥作用的时间规 律，从而指导术后药物治疗。方法 检测赤峰市医院 2013 年 1 月至 2013 年 6 月普外科 住院 100 例无颈部手术病人的双侧头静脉中甲状旁腺激素水平差值，取所有检测数据极 差的两倍作为术后移植有效性的评价指标。对甲状腺术中游离异位或缺乏血运的甲状旁 腺 47 例，经病理证实后将其切成＜0.5mm 颗粒组织，与 1ml 生理盐水混合后抽入 20ml 注射器内，将混合液单点或多点注射入非正力前臂距肘部 5-7cm 的肱桡肌内，进针深度 约 1-1.5cm，分别于术后第 1 天，术后第 4 天，术后第 7 天，术后 1 个月，术后 2 个月， 术后 4 个月，术后 6 个月检测患者双侧肘头静脉甲状旁腺激素浓度差值，评价其移植有 效性。结果 1、 100 例无颈部手术病人的双侧头静脉中甲状旁腺激素水平差值（ x ±s ） 即（1.94±1.43）ng/L，极差为 5.6ng/L，本实验以极差 2 倍（11.2ng/L）作为术后评 价实验组移植有效性标准。2、单点注