超声引导下甲蓝染料注射在颈部再次手术中的甲状旁腺定位。
Ultrasound-guided methylene blue dye injection for parathyroid localization in the reoperative neck.
机构信息
General Surgery, University of California, San Francisco-East Bay, Oakland, CA, USA.
出版信息
World J Surg. 2014 Jan;38(1):88-91. doi: 10.1007/s00268-013-2234-z.
BACKGROUND
The goal of this study was to review a single institution's experience using intraoperative ultrasound-guided (ioUSG) methylene blue dye injection for the localization and removal of enlarged parathyroid glands in patients with primary hyperparathyroidism and a history of previous neck surgery.
METHODS
We performed a retrospective review of nine consecutive patients who underwent reoperative parathyroidectomy using ioUSG methylene blue dye injection.
RESULTS
All patients had successful resolution of their hyperparathyroidism, with at least a 50 % decrease in intraoperative parathyroid hormone level after resection. One patient had transient recurrent laryngeal nerve paresis. There were no permanent recurrent laryngeal nerve injuries or cases of permanent hypoparathyroidism.
CONCLUSIONS
Blue dye injection is a safe and effective method of localizing diseased parathyroid glands in the reoperative neck.
背景
本研究的目的是回顾单中心经验，即使用术中超声引导（ioUSG）亚甲蓝染料注射定位和切除既往颈部手术史的原发性甲状旁腺功能亢进症患者增大的甲状旁腺。
方法
我们对 9 例连续接受 ioUSG 亚甲蓝染料注射辅助再次甲状旁腺切除术的患者进行回顾性分析。
结果
所有患者甲状旁腺功能亢进均得到成功缓解，切除后甲状旁腺激素水平至少降低 50%。1 例患者出现短暂性喉返神经麻痹。无永久性喉返神经损伤或永久性甲状旁腺功能减退症病例。
结论
蓝染注射是一种安全有效的方法，可用于定位复发性颈部疾病甲状旁腺。
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