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原发性甲状旁腺功能亢进症中甲状腺静脉造影及甲状旁腺激素测定的选择性静脉采血法(作者译)

[Thyroid phlebography and selective venous sampling for parathormone estimations in primary hyperparathyroidism (author's transl)].

作者信息

Günther R, Georgi M, Rothmund M, Heicke B, Kärst T

出版信息

Rofo. 1975 Nov;123(5):419-26. doi: 10.1055/s-0029-1230228.

Abstract

Selective venous sampling for parathormone estimations has become an important method in the diagnosis of primary hyperparathyroidism and, together with thyroid phlebography, is an accurate means for localising hormone active parathyroid tissue. Thirty-three patients were examined by this technique and in 25 of these an exploration was carried out subsequently. Twenty-one had primary hyperparathyroidism. In one case hormone analysis lead to a false positive finding. In 18 of these 21 patients, the hormone-active parathyroid tissue was correctly localised. Phlebography showed evidence of an adenoma in five patients, but is of most use for localising the source of the hormone.

摘要

用于甲状旁腺激素测定的选择性静脉采血已成为原发性甲状旁腺功能亢进症诊断中的一种重要方法,并且与甲状腺静脉造影一起,是定位激素活性甲状旁腺组织的准确手段。33例患者接受了该技术检查,其中25例随后进行了探查。21例患有原发性甲状旁腺功能亢进症。在1例中,激素分析导致假阳性结果。在这21例患者中的18例中,激素活性甲状旁腺组织被正确定位。静脉造影显示5例患者有腺瘤迹象,但它在定位激素来源方面最有用。

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