| 顾佳磊,王佳峰,赏金标.甲状腺外科术中甲状旁腺的识别与保护[J].中国肿瘤,2015,24(6):466-470. |
| 甲状腺外科术中甲状旁腺的识别与保护 |
| Identification and Protection of Parathyroid Glands during Thyroid Surgery |
| 投稿时间：2015-02-04 |
| DOI：10.11735/j.issn.1004-0242.2015.06.A007 |
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| 中文关键词: 甲状旁腺 自体移植 甲状旁腺功能减退症 低钙血症 |
| 英文关键词:parathyroid gland autotransplantation hypoparathyroidism hypocalcemia |
| 基金项目:浙江省医药卫生平台研究计划-骨干人才项目（2012RCA010） |
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| 中文摘要: |
| 摘 要：由于甲状旁腺体积小、位置隐秘而且变异多，因此对其术中如何准确识别并保护是影响甲状腺疾病患者术后生活质量的关键。甲状腺外科术中常用的甲状旁腺定位方法包括亚甲蓝染色、5-氨基乙酰丙酸（5-ALA）荧光检测、99mTc-MIBI显像、淋巴示踪剂、光学相干断层成像术（OCT）等。通过多种定位手段识别甲状旁腺并对之进行精细化被膜操作可以有效减少甲状旁腺损伤所致的低钙血症的发生。 |
| 英文摘要: |
| Abstract：As the parathyroid with small size，secretive location and variation，accurate identification and protection of parathyroid during surgery plays an important role on the patients’ quality of life. The common methods of parathyroid localization during thyroid surgery include methylene blue staining，5-aminolevulinic acid (5-ALA) fluorescence detection，99mTc-MIBI imaging，lymphatic tracer，optical coherence tomography (OCT) etc. A variety of positioning means to identify parathyroid and operating it with meticulous capsular dissection can effectively reduce the occurrence of hypocalcemia induced by parathyroid injury. |
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