Lee Lisa, Steward David L
Department of Otolaryngology-Head and Neck Surgery, University of Cincinnati Medical Center, Cincinnati, OH 45267-0582, USA.
Otolaryngol Clin North Am. 2010 Dec;43(6):1229-39, vi. doi: 10.1016/j.otc.2010.08.002.
Four-gland parathyroid exploration has been the gold standard for parathyroid surgery until recently. Emphasis is now placed on minimally invasive and focused parathyroidectomy. In conjunction with functional sestamibi scanning, ultrasonography permits accurate localization of enlarged parathyroid glands in the vast majority of patients with hyperparathyroidism. Consequently, ultrasound technology applied to parathyroid pathology facilitates directed surgical therapy and minimally invasive applications. As such, ultrasonography holds great promise as a tool that enables cost-effective and advanced patient care.
直到最近，四腺甲状旁腺探查术一直是甲状旁腺手术的金标准。现在重点在于微创和精准甲状旁腺切除术。结合功能显像剂锝-99m甲氧基异丁基异腈扫描，超声检查能够在绝大多数甲状旁腺功能亢进患者中准确定位增大的甲状旁腺。因此，应用于甲状旁腺病理学的超声技术有助于定向手术治疗和微创应用。这样一来，超声检查作为一种能够实现经济高效和先进患者护理的工具，具有巨大的前景。
