Risk factors for hypoparathyroidism after thyroidectomy

• Published in: Waike Lilun yu Shijian Vol. 25; no. 2; pp. 124 - 128
• Main Author: WANG Maofei, YUAN Shenyi, YUAN Jianming, LIU Tao, WANG Tianxiang, WANG Mingliang
• Format: Journal Article
• Language: Chinese
• Published: Editorial Office of Journal of Surgery Concepts & Practice 01.03.2020
• Subjects: thyroid surgery|hypoparathyroidism|risk factors
• ISSN: 1007-9610
• DOI: 10.16139/j.1007-9610.2020.02.008

Objective: To analyze the risk factors for hypoparathyroidism following thyroidectomy. Methods: Data of patients after thyroidectomy were collected retrospectively in Luwan Branch Ruijin Hospital Shanghai Jiao Tong University School of Medicine from January 2015 to December 2017. Demographic and surgical data with perioperative laboratory indexes were analyzed. Logistic regression was used to analyze the risk factors associated with transient (less than 6 months after surgery) and permanent (6 months after surgery) hypoparathyroidism. Results: We collected 1 381 patients with age (47.8±13.0) years old including 343 (24.84%) males and 1 038 (75.16%) females in this study. There were 456 cases (33.02%) with transient hypoparathyroidism and 21 cases (1.52%) with permanent hypoparathyroidism. Multivariate analysis showed that the risk factors associated with transient hypoparathyroidism were female(P<0.001, OR=2.049), bilateral thyroidectomy (P<0.001, OR=2.999), lymph node dissection (P=0.001, OR=1.673), operativ