安徽医药AnhuiMedicalandPharmaceuticalJournal2023Feb,27(2)[16]GODLEWSKAP,BENKEM,STACHLEWSKA-NASFETERE,etal.Riskfactorsofpermanenthypoparathyroidismaftertotalthyroid‐ectomyandcentralneckdissectionforpapillarythyroidcancer:aprospectivestudy[J].EndokrynolPol,2020,71(2):126-133.[17]GARCÍA-GARCÍAE,GÓMEZ-GILAAL,ROMERO-LLUCHAR,etal.Hypoparathyroidismafterthyroidectomy:A20-yearex‐perienceatachildren'shospital[J].EndocrinolDiabetesNutr,2021,40(7):869-875.[18]QIUY,XINGZ,FEIY,etal.Roleofthe2018Americanthyroidassociationstatementonpostoperativehypoparathyroidism:a5-yearretrospectivestudy[J].BMCSurg,2021,21(1):334-341.[19]FREYS,FIGUERESL,PATTOUF,etal.Impactofpermanentpost-thyroidectomyhypoparathyroidismonself-evaluationofquali‐tyoflifeandvoice:resultsfromthenationalqol-hypoparastudy[J].AnnSurg,2021,24(8):1170-1176.[20]ESSAMS,AHMADKS,FADEYMA,etal.Roleofperioperativeparathormonehormonelevelassayaftertotalthyroidectomyasapredictoroftransientandpermanenthypocalcemia:prospectivestudy[J].AnnMedSurg(Lond),2021,69:102701.DOI:10.1016/j.amsu.2021.102701.(收稿日期:2021-09-03,修回日期:2021-10-25)肝细胞癌病人介入术后急性严重腹痛发生危险因素及预测模型构建赵宇亮,王魁彬,刘智慧,贾艳红,秦春堂作者单位:焦作市第二人民医院消化二科,河南焦作454100摘要:目的探讨肝细胞癌(HCC)病人肝动脉插管化疗栓塞(TACE)术后急性严重腹痛发生危险因素。方法回顾性分析2017年1月至2020年9月于焦作市第二人民医院行TACE治疗的HCC病人共178例临床资料,根据TACE术后急性严重腹痛发生情况分为急性严重腹痛组和非急性严重腹痛组,采用单因素和多因素法评价HCC病人TACE术后急性严重腹痛发生风险独立影响因素,并基于此构建预测模型。结果178例病人TACE术后24h内发生急性严重腹痛28例,发生率为15.73%;急性严重腹痛组初治比例、病灶最大径>5cm比例、病灶数量≥3个比例、病灶侵犯血管比例、既往TACE术后中重度腹痛史比例及接受载药微球TACE比例分别为75.00%(21/28),64.29%(18/28),75.00%(21/28),46.43%(13/28),28.57%(8/28),60.71%(17/28),显著高于非急性严重腹痛组的57.62%(87...