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Selective parathyroid venous sampling in primary hyperparathyroidism: A systematic review and meta-analysis.原发性甲状旁腺功能亢进症中的选择性甲状旁腺静脉采血：一项系统评价和荟萃分析。
Laryngoscope. 2018 Nov;128(11):2662-2667. doi: 10.1002/lary.27213. Epub 2018 May 14.
2
Selective venous sampling for primary hyperparathyroidism: how to perform an examination and interpret the results with reference to thyroid vein anatomy.原发性甲状旁腺功能亢进症的选择性静脉采血：如何结合甲状腺静脉解剖结构进行检查及解读结果
Jpn J Radiol. 2017 Aug;35(8):409-416. doi: 10.1007/s11604-017-0658-3. Epub 2017 Jun 21.
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A 10-year experience in intraoperative parathyroid hormone measurements for primary hyperparathyroidism: a prospective study of 91 previous unexplored patients.原发性甲状旁腺功能亢进术中甲状旁腺激素测量的10年经验：对91例既往未探查患者的前瞻性研究
J Osteoporos. 2012;2012:914214. doi: 10.1155/2012/914214. Epub 2012 Feb 23.
4
Prevalence of primary hyperparathyroidism and impact on bone mineral density in elderly men: MrOs Sweden.老年男性原发性甲状旁腺功能亢进症的患病率及其对骨密度的影响：MrOs 瑞典研究。
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Split central venous sampling of parathyroid hormone: an adjunct to surgical exploration.甲状旁腺激素的中心静脉分段采样：手术探查的辅助手段。
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6
Bilateral internal jugular venous sampling for parathyroid hormone determination in patients with nonlocalizing primary hyperparathyroidism.双侧颈内静脉取血测定甲状旁腺素在非定位性原发性甲状旁腺功能亢进症患者中的应用。
World J Surg. 2010 Jun;34(6):1299-303. doi: 10.1007/s00268-010-0556-7.
7
Effectiveness of "office"-based, ultrasound-guided differential jugular venous sampling (DJVS) of parathormone in patients with primary hyperparathyroidism.基于诊室的超声引导下甲状旁腺激素颈静脉鉴别采样（DJVS）在原发性甲状旁腺功能亢进患者中的有效性。
Surgery. 2009 Dec;146(6):1014-20. doi: 10.1016/j.surg.2009.09.033.
8
Hyperparathyroidism.甲状旁腺功能亢进症。
Lancet. 2009 Jul 11;374(9684):145-58. doi: 10.1016/S0140-6736(09)60507-9.
9
Utility of intraoperative bilateral internal jugular venous sampling with rapid parathyroid hormone testing in guiding patients with a negative sestamibi scan for minimally invasive parathyroidectomy--a randomized controlled trial.术中双侧颈内静脉采血联合快速甲状旁腺激素检测在指导甲状旁腺显像阴性患者行微创甲状旁腺切除术中的应用——一项随机对照试验
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The anatomy of the human thyroid veins and its surgical application.人体甲状腺静脉的解剖及其外科应用。
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原发性甲状旁腺功能亢进患者颈内静脉血清甲状旁腺激素浓度分析。

Analysis of PTH serum concentration from internal jugular veins of patients with primary hyperparathyroidism.

作者信息

Ribeiro Davi Knoll, Neves Murilo Catafestas das, Santos Rodrigo de Oliveira, Abrahao Marcio

机构信息

Universidade Federal de São Paulo (UNIFESP), Escola Paulista de Medicina, Departamento de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço, São Paulo, SP, Brazil.

Universidade Federal de São Paulo (UNIFESP), Escola Paulista de Medicina, Departamento de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço, São Paulo, SP, Brazil.

出版信息

Braz J Otorhinolaryngol. 2025 Apr 9;91 Suppl 1(Suppl 1):101605. doi: 10.1016/j.bjorl.2025.101605.

DOI:10.1016/j.bjorl.2025.101605
PMID:40209343
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12013386/
Abstract

OBJECTIVE

To evaluate whether the values of Parathyroid Hormone (PTH) collected from the internal jugular veins of patients with primary hyperparathyroidism can assist in the surgical approach.

METHODS

Prospective study of patients who underwent parathyroid adenoma excision by PHPT, collected right and left internal jugular vein blood sample for analysis of Parathyroid Hormone.

RESULTS

Twenty-nine patients underwent surgery. All patients had a decrease in peripheral PTH greater than 50% with a mean of 73.47%. PTH collection from the internal jugular veins was positive regarding the confirmation of parathyroid adenoma laterality in 22 cases (75.86%) and failure in 7 cases (24.14%), (p-value = 0.001). Comparing the success rates of the Methoxyisobutylisonitrile parathyroid scintigraphy (MIBI) tests, parathyroid Ultrasonography (USG) and PTH of internal jugulars in relation to location of adenoma laterality, we observed MIBI as localizer in 89.65% of the cases followed by the Jugular PTH with 75.86% and USG with 44.82%.

CONCLUSION

PTH collection from the internal jugular veins is useful in patients with primary hyperparathyroidism who underwent surgery as a possible method of localization exams, indicating adenoma laterality.

LEVE OF EVIDENCE

Level III.

摘要

目的

评估从原发性甲状旁腺功能亢进患者颈内静脉采集的甲状旁腺激素（PTH）值是否有助于手术方案的制定。

方法

对接受甲状旁腺功能亢进症甲状旁腺腺瘤切除术的患者进行前瞻性研究，采集左右颈内静脉血样以分析甲状旁腺激素。

结果

29例患者接受了手术。所有患者外周血PTH均下降超过50%，平均下降73.47%。从颈内静脉采集PTH在22例（75.86%）中对甲状旁腺腺瘤侧别确认呈阳性，7例（24.14%）失败，（p值 = 0.001）。比较甲氧基异丁基异腈甲状旁腺闪烁显像（MIBI）检查、甲状旁腺超声检查（USG）和颈内静脉PTH在腺瘤侧别定位方面的成功率，我们观察到MIBI在89.65%的病例中作为定位检查，其次是颈内静脉PTH为75.86%，USG为44.82%。

结论

对于接受手术的原发性甲状旁腺功能亢进患者，从颈内静脉采集PTH作为一种可能的定位检查方法，有助于指示腺瘤侧别，是有用的。

证据水平

三级。