Guéris J, Gaux J C, Baglin A, Frija G, Fendler J P, Benhamou C, Ferrière C, Veillon B, Brisset J M, Fritel D, Bismuth V
Nouv Presse Med. 1976 Dec 25;5(4):2991-5.
Multisite cervico-mediastinal venous blood samples were collected fort the estimation of parathormone before operation in twenty four patients subsequently confirmed at surgery to have primary hyperparathyroidism. The examination made it possible to lateralise a single (single adenoma: 18 cases) or predominant lesion (multiple adenomas or hyperplasia: 6 cases), in 15 of them (62%). In patients with a single adenoma, exact lateralisation was obtained in 12 out of 18 cases (9 had selective samples with 7 accurate lateralisations). This lengthy and costly examination is essentially of value in localisation and should be used essentially in patients with virtually definite primary hyperparathyroidism and in whom the responsible lesion has not been discovered at exploratory operation.
对24例随后经手术证实患有原发性甲状旁腺功能亢进症的患者，在手术前采集了多部位颈纵隔静脉血样本以评估甲状旁腺激素。该检查使15例患者（62%）能够确定单一病变（单个腺瘤：18例）或主要病变（多个腺瘤或增生：6例）的侧别。在患有单个腺瘤的患者中，18例中有12例获得了准确的侧别（9例进行了选择性采样，其中7例侧别准确）。这项冗长且昂贵的检查在定位方面具有重要价值，主要应在原发性甲状旁腺功能亢进症几乎确诊但在探查手术中未发现责任病变的患者中使用。
