Fernandez Kristen L, Turer Paul, Spiegler Ethan J, Singer John A
Department of Surgery, St. Agnes Healthcare, Baltimore, Maryland 21229, USA.
Clin Nucl Med. 2002 Dec;27(12):865-7. doi: 10.1097/00003072-200212000-00003.
The authors describe a 42-year-old man with parathyroid hyperplasia secondary to chronic renal failure. Parathyroidectomy was indicated because of persistent hypercalcemia and an increasing parathyroid hormone level despite medical management. A parathyroid sestamibi scan was performed immediately before operation and a gamma-detecting probe was used during operation. Six parathyroid glands weighing nearly 21 g were present. Without the use of the gamma-detecting probe during operation, one of the glands would have been missed. The efficacy of sestamibi scanning with parathyroid hyperplasia is discussed.
作者描述了一名42岁因慢性肾衰竭继发甲状旁腺增生的男性患者。尽管进行了药物治疗，但由于持续高钙血症和甲状旁腺激素水平不断升高，故行甲状旁腺切除术。术前立即进行了甲状旁腺99m锝-甲氧基异丁基异腈扫描，并在手术中使用了γ探测仪。术中发现六个甲状旁腺，总重近21克。若术中未使用γ探测仪，其中一个腺体将会被遗漏。本文讨论了99m锝-甲氧基异丁基异腈扫描在甲状旁腺增生中的有效性。
Zotero 插件