Li Jianbo, Tang Qinghu, Yang Xiaozhen, He Gaofei, Lin Chengping, Zhang Deguang
Department of Head and Neck Surgery, Institute of Micro-Invasive Surgery of Zhejiang University, Sir Run Run Shaw Hospital, Medical School, Zhejiang University, Hangzhou, PR China.
Department of Surgery, Linghu People's Hospital, Nanxun District, Huzhou City, No. 6666, Fengming Road, PR China.
Asian J Surg. 2023 Apr;46(4):1550-1555. doi: 10.1016/j.asjsur.2022.08.078. Epub 2022 Sep 6.
Parathyroid gland transplantation into the sternocleidomastoid muscle is effective, but it is not possible to confirm transplant survival with this method. In this study, we evaluated parathyroid autotransplantation into the brachioradialis muscle and its survival rate.
To evaluate autologous parathyroid gland left forearm brachioradial muscle transplantation and its survival rate.
The most commonly used transplantation site is the sternocleidomastoid muscle, but transplant survival cannot be confirmed using this method. Autologous parathyroid gland left forearm brachioradial muscle transplantation solves this problem, and we evaluate the transplant survival using this method.
We followed-up patients who underwent thyroidectomy and autologous parathyroid left forearm brachioradial muscle transplantation in our center from September 2013 to January 2018. The last follow-up date was January 2021; all enrolled patients underwent at least 3 years of follow-up. We calculated the transplant survival rate at several time points.
We evaluated 238 transplanted cases, for which the long-term survival rate was 85.7% (204/238), and the short-term survival rate was 86.1% (205/238). Sixty-five cases had two parathyroid glands transplanted into the left forearm brachioradialis muscle. The long-term survival rate was 92.3% (60/65), and the short-term survival rate was 95.4% (62/65).
Autologous parathyroid gland left brachioradialis transplantation is a reliable, measurable method with good survival rate, and we recommend this method for consideration for transplanting parathyroid glands in thyroidectomy.
将甲状旁腺移植到胸锁乳突肌中是有效的，但用这种方法无法确认移植后的存活情况。在本研究中，我们评估了将甲状旁腺自体移植到肱桡肌中的情况及其存活率。
评估自体甲状旁腺左前臂肱桡肌移植及其存活率。
最常用的移植部位是胸锁乳突肌，但用这种方法无法确认移植后的存活情况。自体甲状旁腺左前臂肱桡肌移植解决了这个问题，我们用这种方法评估移植后的存活情况。
我们对2013年9月至2018年1月在本中心接受甲状腺切除术及自体甲状旁腺左前臂肱桡肌移植的患者进行了随访。最后一次随访日期为2021年1月；所有纳入的患者均接受了至少3年的随访。我们在几个时间点计算了移植存活率。
我们评估了238例移植病例，其长期存活率为85.7%（204/238），短期存活率为86.1%（205/238）。65例患者将两个甲状旁腺移植到左前臂肱桡肌中。长期存活率为92.3%（60/65），短期存活率为95.4%（62/65）。
自体甲状旁腺左肱桡肌移植是一种可靠、可测量且存活率良好的方法，我们建议在甲状腺切除术中考虑使用这种方法来移植甲状旁腺。
