Lu Lei, Shang Hong-Qing
Department of Breast and Thyroid Surgery, Beijing Haidian Hospital, Beijing 100080, China.
World J Clin Cases. 2024 Jun 16;12(17):2946-2950. doi: 10.12998/wjcc.v12.i17.2946.
Hypoparathyroidism is one of the main complications after total thyroidectomy, severely affecting patients' quality of life. How to effectively protect parathyroid function after surgery and reduce the incidence of hypoparathyroidism has always been a key research area in thyroid surgery. Therefore, precise localization of parathyroid glands during surgery, effective imaging, and accurate surgical resection have become hot topics of concern for thyroid surgeons. In response to this clinical phenomenon, this study compared several different imaging methods for parathyroid surgery, including nanocarbon, indocyanine green, near-infrared imaging techniques, and technetium-99m methoxyisobutylisonitrile combined with gamma probe imaging technology. The advantages and disadvantages of each method were analyzed, providing scientific recommendations for future parathyroid imaging. In recent years, some related basic and clinical research has also been conducted in thyroid surgery. This article reviewed relevant literature and provided an overview of the practical application progress of various imaging techniques in parathyroid surgery.
甲状旁腺功能减退是全甲状腺切除术后的主要并发症之一,严重影响患者的生活质量。如何在术后有效保护甲状旁腺功能并降低甲状旁腺功能减退的发生率一直是甲状腺外科的关键研究领域。因此,术中甲状旁腺的精确定位、有效的成像以及精确的手术切除已成为甲状腺外科医生关注的热点话题。针对这一临床现象,本研究比较了几种不同的甲状旁腺手术成像方法,包括纳米碳、吲哚菁绿、近红外成像技术以及锝-99m甲氧基异丁基异腈联合γ探测成像技术。分析了每种方法的优缺点,为未来甲状旁腺成像提供科学建议。近年来,甲状腺外科也开展了一些相关的基础和临床研究。本文回顾了相关文献,概述了各种成像技术在甲状旁腺手术中的实际应用进展。