ĐẶC ĐIỂM LÂM SÀNG, SINH HÓA BỆNH NHÂN UNG THƯ TUYẾN GIÁP SAU PHẪU THUẬT SỬ DỤNG DAO LIGASURE TẠI BỆNH VIỆN TRUNG ƯƠNG THÁI NGUYÊN

Abstract

To describe the clinical and biological characteristics of patients after thyrodectomy using Ligasure. Subjects: 80 thyroid cancer patients who were treated using Ligasure at Thai Nguyen General Hospital from September 2022 to March 2023. Methods: Descriptive study Results: The mean age was 48.33 ± 12.67 years old, the lowest was 17 years old, and the highest was 75 years old. Gender ratio: female (87.5%), male (12.5%), female/male ratio = 7/1. 93.7% papillary thyroid cancer 32.5% have clinical symptoms of hypocalcemia. Hoarseness and painful swallowing are two fairly common symptoms in the first 24 hours after thyroid cancer surgery. 56.3% of thyroid cancer patients after surgery had a lower 25(OH)D3. The rate of hypocalcemia after thyroid surgery was 32.5%, of which 11.3% were diagnosed with hypoparathyroidism. Conclusion: The paraclinical indicators that need attention in patients with thyroid cancer after surgery are serum calcium, 25(OH)D3, and PTH, especially in the total thyroidectomy group.