Primer Hiperparatiroidi Cerrahisinde Ameliyat Öncesi Düşük Serum Magnezyum Düzeyi Postoperatif Hipomagnezemi için Önemli Bir Prediktif Faktördür

Amaç: Paratiroidektomi, primer hiperparatiroidili hastalarda elektrolit metabolizmasında önemli değişikliklere neden olur. Açıklanamayan nedenlerle paratiroidektomi sonrası hipomagnezemi görülebilir. Çalışmamızda ameliyat sonrası hipomagnezeminin şiddetini, klinik ve biyokimyasal parametreler ile ilişkisini değerlendirmeyi amaçladık. Gereç ve Yöntem: Ocak 2017-Aralık 2020 tarihleri arasında hiperparatiroidizm nedeniyle paratiroidektomi ameliyatı yapılan hastalar retrospektif olarak değerlendirildi. Çalışmaya preoperatif ve postoperatif magnezyum düzeylerine ulaşılabilinen 80 hasta dahil edildi. Hastalar ameliyat sonrası birinci gün serum magnezyum düzeylerine göre iki gruba ayrıldı. Gruplar, serum magnezyum düzeyi 0,005). Gruplar arasında preoperatif serum kalsiyum, düzeltilmiş kalsiyum ve paratiroid hormon düzeyleri açısından anlamlı fark yoktu (p>0,05). Preoperatif magnezyum düzeyi ise HypoMg grubunda anlamlı olarak düşüktü (p

Preoperative Low Serum Magnesium Level is a Significant Predictive Factor for Postoperative Hypomagnesemia in Patients Who Underwent Parathyroidectomy for Primary Hyperparathyroidism

Aim: Parathyroidectomy causes significant changes in mineral metabolism in patients with primary hyperparathyroidism (PHPT). Hypomagnesemia may be seen after parathyroidectomy with unknown mechanisms. Our study aimed to evaluate the severity of hypomagnesemia and its correlation with clinical and biochemical variables after the surgery. Materials and Methods: A retrospective study was conducted in the patients with parathyroidectomy for PHPT between January 2017 and December 2020 in a single tertiary hospital. All consecutive patients with preoperative and postoperative magnesium levels (n=80) were included. Patients were divided into two groups according to the postoperative first-day serum magnesium levels: patients whose serum magnesium was 0.05). There were no significant differences in the preoperative serum calcium, adjusted calcium, and parathyroid hormone levels between the groups (p>0.05). Preoperative magnesium levels were significantly lower in the HypoMg group (p

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