可检测和甲状旁腺手术的手术效果 – 一个单中心的经验

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所属分类:疗效
摘要

主要hyperparathyroidismand推荐的切除甲状旁腺腺瘤的发病率正在增加。这提高了detectabili因素…

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可检测和甲状旁腺手术的手术效果 - 一个单中心的经验

摘要

主hyperparathyroidismand引荐用于去除甲状旁腺腺瘤的发病率正在增加。这提高了探测,并最终手术效果的因素是这项回顾性研究的重点。我们包括117例谁与甲状旁腺激素(PTH)的术中监测有甲状旁腺操作。异丁基异腈,超声波和,在选定的情况下,融合计算断层(CT),都是为术前定位病灶。手术前后钙和PTH,试样重量,及术前维生素d浓度的浓度,进行了评估。异丁基异腈和超声的腺瘤的术前位置的灵敏度为92%和80%。禄锝患者维生素d(P = 0.037)低术前的浓度和更重的腺瘤(对< 0.001). We found no significant association between the preoperative concentrations of PTH and detectability on preoperative scans (p = 0.058). Postoperative follow up showed that 97% of the 117 patients were biochemically cured. Accurate location helps to lower morbidity as it facilitates a targeted approach. Further studies are needed to explore the role of vitamin D in the location of parathyroid adenomas before parathyroidectomy.

关键词

ParathyroidectomyPrimary hyperparathyroidismParathyroid adenectomyVitamin DParathyroid腺瘤locationtargeted surgeryView全文
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