Features of Mineral Metabolism Disorders in Patients with Multinodular Goiter after Thyroidectomy

V.Ya. Kashperska


The features of calcium, phosphorus, parathyroid hormone and vitamin D indexes in patients with multinodular non-toxic goiter after thyroidectomy are presented in the article. It is found that age over 60 years, greater thyroid volume, lower 25(ОН)D level before surgery, decline of parathyroid hormone level after surgery are the basic parameters that influence the development of hypocalcemia in patients with multinodular goiter after thyroidectomy. The level of 25(OH)D below 20 ng/ml should be regarded as a specific and sensitive preoperative predictor of hypocalcemia after thyroidectomy, as well as persistent hypoparathyroidism. The level of parathyroid hormone after surgery below 10 pg/ml can be considered as a predictor of these conditions.


multinodular goiter; thyroidectomy; calcium; phosphorus; vitamin D


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