الفهرس | Only 14 pages are availabe for public view |
Abstract - 69 - SUMMARY Forty five patients with thyroid enlart.ement (simple and toxic goitre) were subjected to partial thyroidectomy, subtotal thyroidectomy and reseotion enucleation. During operation the pathology was oon!irmed and the parathyroid glands were identified for their site and number in patients SUbjected to massive reseotion. of thyroid tissue as in subtotal and partial thyroidectomy but not in resection enucleation. Gross and mierGsoopieal examination of the removed specimen of the thyroid tissue wae performed to exclude other thyroid diseases. All patients were subjected to routine preoperative clinioal examination and investigations (full blood pictu. re, bltlod urea, blood and urine creatinine, serum and urine calcium, serum and urine phosphorus and stool and urine analysis). In this work, serum calcium and phosphorus, urinary calcium and phosphorus were determined one day preoperative and 3 daYs, 1 week, 3 months and 6 months postoperatively. - 70 - from this study it could be concluded that hypercaloaemia was evident in thyrotoxicosis, while there was transient hypooaloaemia followirJi,thyroideotomy, which returned nearly to the normel level within six months. This was suggested to be due to removal of the additional stress 0’ the oalcitonin secreting system due tl) haperthyroid excess bone resorption and shrink of the oalcium pl)ol to the normal size upon treatment. |