Page 216 - EJMO-9-1
P. 216

Eurasian Journal of Medicine and
            Oncology                                                               Anticoagulant therapy on parathyroid



            Table 3. Parathyroid function recovery time
            Postoperative time                  Anticoagulant group (n = 151)  Control group (n = 110)  χ 2  P
            Post-operative day 3
             Number who recovered and proportion (%)   24 (15.89)              16 (14.55)       0.089    0.765
            Post-operative day 5
             Number who recovered and proportion (%)   45 (29.80)              38 (34.56)       0.660    0.461
            Post-operative day 15
             Number who recovered and proportion (%)  105 (69.54)              61 (55.45)       5.451    0.0020
            Post-operative day 30
             Number who recovered and proportion (%)  131 (86.75)              75 (68.18)      13.199    0.00
            Post-operative day 90
             Number who recovered and proportion (%)  146 (96.69)             100 (90.91)       3.925    0.048
            Post-operative day 180
             Number who recovered and proportion (%)   151 (100)              106 (96.36)       5.576    0.0018

            Table 4. Comparison of PTH indices between the two groups at different post‑operative time points

            Groups                      Post‑operative     Post‑operative     Post‑operative    Post‑operative day
                                        day 3 (pg/mL)      day 15 (pg/mL)     day 30 (pg/mL)      180 (pg/mL)
            Anticoagulant group (n = 151)  10.32 ± 2.23     16.52 ± 3.71       26.98 ± 4.26       33.19 ± 3.89
            Control group (n = 110)       11.26 ± 2.37      14.96 ± 3.18       20.38 ± 4.13       26.25 ± 3.88
            t                              −3.275             3.559              12.519             14.248
            P                               0.001             <0.001             <0.001             <0.001

            Table 5. Comparison of serum calcium between the two groups at different post‑operative time points

            Groups                      Post‑operative     Post‑operative     Post‑operative    Post‑operative day
                                        day 3 (mmol/L)    day 15 (mmol/L)    day 30 (mmol/L)     180 (mmol/L)
            Anticoagulant group (n = 151)  2.33 ± 0.15      2.26 ± 0.21        2.49 ± 0.26         2.79 ± 0.34
            Control group (n = 110)       2.32 ± 0.19       2.11 ± 0.18        2.20 ± 0.13         2.29 ± 0.37
            t                               0.320             6.046             10.756              11.302
            P                               0.750             <0.001            <0.001              <0.001


            Table 6. Comparison of treatment efficacy between the two groups
            Groups                          Effective        Valid           Invalid           Total effective rate
            Anticoagulant group (n = 151)     65               73              13                137 (91.39)
            Control group (n = 110)           33               36              41                 69 (62.73)
             2                                                                                     30.001
            χ
            P                                                                                      <0.001


            4. Discussion                                      on recovery status.  Most patients with temporary
                                                                                7,8
                                                               parathyroid injury regain function within 6  months
            4.1. Incidence of parathyroid dysfunction after total   post-operatively.  However, definitions of post-operative
                                                                            9
            thyroidectomy                                      parathyroid dysfunction vary across the literature, leading
            Hypoparathyroidism  is one  of  the  most  common   to  differences  in  the  reported  incidences  of  temporary
            complications following total thyroidectomy and can be   versus permanent hypoparathyroidism. 10-14  In this study,
            classified as either temporary or permanent, depending   hypoparathyroidism was defined as a post-operative PTH



            Volume 9 Issue 1 (2025)                        208                              doi: 10.36922/ejmo.8105
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