A study on the effectiveness of two parathyroid autotransplantation techniques in thyroid surgery
甲状腺手术中两种甲状旁腺自体移植技术效果研究

摘要

目的 本文将深入分析标准的切开移植法与改进的注射移植法对移植甲状旁腺的影响，从而为临床医生提供理论依据，有助于推广甲状旁腺移植技术。方法 抽取2022年1月-2023年8月期间，共有50例甲状腺恶性肿瘤患者作为此次研究对象，各组患者25例，均知情情况下参与至A组（行传统切开移植术）与B组（行注射移植术），比较两种手术的临床应用效果。结果 两组患者术前、术后1d、术后2周阶段PTH水平并无明显差异，（P＞0.05），B组患者术后8周、24周PTH水平均高于A组，且甲状旁腺能发挥时间及稳定时间均短于A组，并发症发生远低于A组，两组数据差异显著，（P＜0.05）。结论 临床治疗甲状腺恶性肿瘤患者中，采用注射移植术，临床治疗效果显著，可有效改善患者病情，移植甲状旁腺成活率较高，且发挥功能及功能稳定时间更短，并发症发生较少，临床可积极推广应用。

Abstract

Objective This article aims to analyze in depth the effects of standard incision transplantation and improved injection transplantation on the transplantation of parathyroid glands, in order to provide theoretical basis for clinical doctors and promote parathyroid transplantation technology.
Methods From January 2022 to August 2023, a total of 50 patients with thyroid malignant tumors were selected as the study subjects. 25 patients in each group participated in Group A (traditional incision transplantation) and Group B (injection transplantation) knowingly, and the clinical application effects of the two surgeries were compared.
Results There was no significant difference in PTH levels between the two groups of patients before surgery, 1 day after surgery, and 2 weeks after surgery (P>0.05). PTH levels in Group B were higher than those in Group A at 8 and 24 weeks after surgery, and the time for parathyroid function and stability was shorter than that in Group A. The incidence of complications was much lower than that in Group A. The difference in data between the two groups was significant (P<0.05).
Conclusion   In the clinical treatment of patients with malignant thyroid tumors, the use of injection transplantation has a significant therapeutic effect and can effectively improve the patient's condition. The survival rate of transplanted parathyroid glands is higher, and their function and stability time are shorter, with fewer complications. It can be actively promoted and applied in clinical practice.