前臂移植复发性甲状旁腺功能亢进的放射性导向甲状旁腺切除术。
Radioguided parathyroidectomy in forearm graft for recurrent hyperparathyroidism.
机构信息
Department of Endocrine Surgery, Catholic University of Sacred Heart, Rome, Italy.
出版信息
Br J Radiol. 2012 Jan;85(1009):e1-3. doi: 10.1259/bjr/64348019.
Abstract
We report a peculiar case of recurrent hyperparathyroidism caused by hyperplasia of a forearm graft implanted following a total parathyroidectomy in a 38-year-old patient with chronic renal failure. The forearm graft hyperplasia was detected using (99)Tc(m)-sestamibi scanning, which identified hyperplastic transplanted parathyroid tissue in the forearm of the patient. During the initial surgery, the surgeon failed to mark the parathyroid tissue with sutures or clips to facilitate locating it. Therefore, we referred the patient for radioguided surgery. This surgical procedure allowed us to locate and completely remove the hyperfunctioning transplanted parathyroid tissue.
摘要
我们报告了一例由慢性肾衰竭患者全甲状旁腺切除术后植入前臂移植物增生引起的复发性甲状旁腺功能亢进症的特殊病例。（99）Tc（m）-甲氧基异丁基异腈扫描检测到前臂移植物增生，该扫描识别出患者前臂增生的移植甲状旁腺组织。在初次手术中，外科医生未能用缝线或夹子标记甲状旁腺组织，以便于定位。因此，我们建议患者进行放射性导向手术。该手术程序使我们能够定位并完全切除功能亢进的移植甲状旁腺组织。
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