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Tiroid cerrahisi sonrası hipokalsemi gelişimini etkileyen faktörler

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dc.contributor.authorYetkin, Sıtkı Gürkan
dc.contributor.authorMihmanlı, Mehmet
dc.contributor.authorUludağ, Mehmet
dc.contributor.authorÇitgez, Bülent
dc.contributor.authorAygün, Nurcihan
dc.contributor.authorBesler, Evren
dc.contributor.authorİşgör, Adnan
dc.contributor.institutionT.C. Sağlık Bakanlığı
dc.contributor.institutionT.C. Sağlık Bakanlığı
dc.contributor.institutionT.C. Sağlık Bakanlığı
dc.contributor.institutionT.C. Sağlık Bakanlığı
dc.contributor.institutionT.C. Sağlık Bakanlığı
dc.contributor.institutionT.C. Sağlık Bakanlığı
dc.contributor.institutionBahçeşehir Üniversitesi
dc.date.accessioned2025-09-20T20:03:08Z
dc.date.issued2015
dc.date.submitted29.07.2022
dc.description.abstractAmaç: Tiroidektomi sonrası geçici hipokalsemi en sık görülen komplikasyondur ve oluştuğunda kolaytedavi edilir. Geçici hipokalsemi ile ilişkili esas problem hastanede kalış süresini uzatmasıdır. Bu çalış -manın amacı tiroid cerrahisi uygulanan hasta grubunda postoperatif geçici hipokalsemi için risk fak -törlerini belirlemekti.Gereç ve Yöntem: Ocak 2012 - Aralık 2013 tarihleri arasında total tiroidektomi uygulanan 177 has -tanın verileri retrospektif olarak değerlendirildi. Hipokalsemi total serum kalsiyum düzeyinin 8 mg/dl altında olması olarak tanımlandı. Geçici hipokalsemi total tiroidektomiyi takiben 6 ayda hipokalse -minin iyileşmesi olarak tanımlandı. Geçici hipokalsemi için risk faktörleri olarak cinsiyet, preopera -tif D vitamini eksikliği, reküren hastalık için cerrahi girişim, hipertiroidi varlığı, görülen ve korunanparatiroid bez sayısı, paratiroid bez ekimi yapılması, patolojik spesmende çıkarılan paratiroid bezivarlığı değerlendirildi. İstatistik değerlendirmede Nominal Lojistik Regresyon analizi, Ki-kare testive Fisherin Kesinlik testi kullanıldı.Bulgular: Çalışmadaki 177 hastanın (150K, 27E) 37sinde (%20.9) geçici hipokalsemi gelişti. Nominalregresyon analizinde sadece patolojik spesmende çıkarılan paratiroid bezi varlığı (p=0.025) geçicihipokalsemi için bağımsız değişken faktör olarak belirlendi.Sonuç: Patolojik spesmende paratiroid bezi varlığı yüksek oranda geçici hipokalsemiden sorumludur.Tiroidektomi esnasında cerrahi spesmenin intraoperatif dikkatli incelenmesi uygunsuz paratiroidek -tomi insidansını azaltabilir.
dc.identifier.endpage106
dc.identifier.issn1302-7123
dc.identifier.issn1308-5123
dc.identifier.issue2
dc.identifier.startpage101
dc.identifier.urihttps://hdl.handle.net/20.500.14719/5777
dc.identifier.volume49
dc.language.isotr
dc.relation.journalŞişli Etfal Hastanesi Tıp Bülteni
dc.subjectTıbbi Araştırmalar Deneysel
dc.subjectEndokrinoloji ve Metabolizma
dc.subjectGenel ve Dahili Tıp
dc.subjectPatoloji
dc.subjectCerrahi
dc.titleTiroid cerrahisi sonrası hipokalsemi gelişimini etkileyen faktörler
dc.typeResearch Article
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