甲状腺切除术中用于识别甲状旁腺的亚甲蓝喷雾剂
Methylene Blue Spray for Identification of Parathyroid Glands During Thyroidectomy.
作者信息
Monib Sherif, Mohamed Abdullah, Abdelaziz Mohamed I
机构信息
Breast Surgery, West Hertfordshire Hospitals NHS Trust, St Albans and Watford General Hospitals, London, GBR.
Surgery, Fayoum University Hospitals, Fayoum, EGY.
出版信息
Cureus. 2020 Nov 19;12(11):e11569. doi: 10.7759/cureus.11569.
BACKGROUND
Hypocalcaemia is a common delayed complication after thyroidectomy. Several studies have identified risk factors and possible ways to prevent post-thyroidectomy hypocalcemia. The purpose of our study is to evaluate the effectiveness of an intraoperative methylene blue spray to identify parathyroid glands during thyroidectomy.
MATERIALS AND METHODS
We have conducted a prospective non-randomised cohort study with 50 patients who underwent hemithyroidectomy or total thyroidectomy between January 2019 and January 2020. During thyroidectomy, 1 ml (10 mg) of 1% methylene blue was sprayed over the parathyroid glands, the inferior thyroid artery, and the recurrent laryngeal nerve.
RESULTS
Our study included 50 patients with ages ranging from 18 to 80 years old (43.0±9.7). We were able to identify the parathyroid glands with the intraoperative methylene blue spray in 82% of cases, with no significant postoperative complications.
CONCLUSION
Our study concludes that the methylene blue spray is a safe, feasible, and effective technique to identify parathyroid glands.
背景
低钙血症是甲状腺切除术后常见的延迟并发症。多项研究已确定了危险因素以及预防甲状腺切除术后低钙血症的可能方法。我们研究的目的是评估术中使用亚甲蓝喷雾在甲状腺切除术中识别甲状旁腺的有效性。
材料与方法
我们进行了一项前瞻性非随机队列研究，研究对象为2019年1月至2020年1月期间接受半甲状腺切除术或全甲状腺切除术的50例患者。在甲状腺切除术中，将1毫升（10毫克）1%的亚甲蓝喷洒在甲状旁腺、甲状腺下动脉和喉返神经上。
结果
我们的研究纳入了50例年龄在18至80岁之间的患者（43.0±9.7）。在82%的病例中，我们能够通过术中亚甲蓝喷雾识别出甲状旁腺，且术后无明显并发症。
结论
我们的研究得出结论，亚甲蓝喷雾是一种安全、可行且有效的识别甲状旁腺的技术。
Zotero 插件