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[通过甲状旁腺激素的选择性测定对上皮体肿瘤进行定位诊断。一种新方法的手术后遗症]

[Localization diagnosis of epithelial-body tumors through selective determination of parathyroid hormone. Surgical sequelae of a new method].

作者信息

Rothmund M, Brünner H, Kümmerle F, Günther R, Georgi M, Heicke B

出版信息

Chirurg. 1975 May;46(5):221-5.

PMID:1149569
Abstract

A new method for the localisation of abnormal parathyroid tissue is reported. This is carried out by selective venous blood sampling from the thyroid veins and the large veins of the neck. Parathyroid hormone levels are measured by radioimmunoassay. The peak hormone level indicates the site of the tumor suspected. Parathyroid venous blood was taken in 15 patients with primary hyperparathyroidism. In 12 patients localisation of the parathyroid tumor was achieved pre-operatively. The procedure is especially valuable in patients with previous unsuccessful parathyroid surgery. There are no complications or contraindications to the method.

摘要

报告了一种用于定位异常甲状旁腺组织的新方法。该方法通过从甲状腺静脉和颈部大静脉进行选择性静脉血采样来实施。采用放射免疫分析法测量甲状旁腺激素水平。激素水平峰值指示疑似肿瘤的部位。对15例原发性甲状旁腺功能亢进患者采集了甲状旁腺静脉血。12例患者在术前实现了甲状旁腺肿瘤的定位。该方法对先前甲状旁腺手术未成功的患者特别有价值。该方法无并发症或禁忌证。

相似文献

1
[Localization diagnosis of epithelial-body tumors through selective determination of parathyroid hormone. Surgical sequelae of a new method].[通过甲状旁腺激素的选择性测定对上皮体肿瘤进行定位诊断。一种新方法的手术后遗症]
Chirurg. 1975 May;46(5):221-5.
2
[Selective parathormone determination for localizing parathyroid tumors].[用于定位甲状旁腺肿瘤的选择性甲状旁腺激素测定]
Langenbecks Arch Chir. 1975;Suppl:457-60.
3
Pre-operative localization of parathyroid tissue by selective neck vein catheterization and radioimmunoassay of parathyroid hormone.通过选择性颈静脉插管和甲状旁腺激素放射免疫测定对甲状旁腺组织进行术前定位。
Acta Chir Scand. 1975;141(1):31-9.
4
[Diagnostic value of selective parathormone determination in primary hyperparathyroidism].
Zentralbl Chir. 1980;105(14):895-900.
5
[Preoperative localization diagnosis of parathyroid adenomas in 72 cases of primary hyperparathyroidism by selective catheterization of neck veins and parathyroid hormone determination].[72例原发性甲状旁腺功能亢进症患者甲状旁腺腺瘤的术前定位诊断:经颈静脉选择性插管及甲状旁腺激素测定]
Schweiz Med Wochenschr. 1983 Apr 30;113(17):636-40.
6
[Radioimmunological determination of parathyroid hormone: regional localization in hypercalcaemic hyperparathyroidism (author's transl)].甲状旁腺激素的放射免疫测定:高钙血症性甲状旁腺功能亢进症的区域定位(作者译)
Wien Klin Wochenschr. 1979 Jun 22;91(13):464-9.
7
[Preoperative location of parathyroid adenomas using supraselective parathyroid hormone determination in the blood of the cervical veins].[通过测定颈静脉血中超选择性甲状旁腺激素来进行甲状旁腺腺瘤的术前定位]
Chirurg. 1978 Dec;49(12):745-51.
8
Preoperative localization of enlarged parathyroid glands.甲状旁腺肿大的术前定位
Ann Clin Res. 1984;16 Suppl 40:51-4.
9
Primary hyperparathyroidism. Preoperative tumor localization and differentiation between adenoma and hyperplasia.原发性甲状旁腺功能亢进症。术前肿瘤定位及腺瘤与增生的鉴别。
N Engl J Med. 1972 Jun 1;286(22):1169-75. doi: 10.1056/NEJM197206012862201.
10
[The role of intraoperative parathyroid hormone assay in the surgical management of hyperparathyroidism].[术中甲状旁腺激素测定在甲状旁腺功能亢进症外科治疗中的作用]
G Chir. 2004 Jun-Jul;25(6-7):242-4.

引用本文的文献

1
Diagnosis and surgical treatment of mediastinal parathyroid tumors.
Ann Surg. 1976 Feb;183(2):139-145. doi: 10.1097/00000658-197602000-00010.
2
[Diagnosis and therapy of primary hyperparathyroidism (author's transl)].原发性甲状旁腺功能亢进症的诊断与治疗(作者译)
Langenbecks Arch Chir. 1978 Dec 20;346(4):219-34. doi: 10.1007/BF01256401.