Dudley N E
Br Med J. 1971 Sep 18;3(5776):680-1. doi: 10.1136/bmj.3.5776.680.
Rapid identification of parathyroid tissue has been rendered possible by preoperative intravenous infusion of methylene blue before exploration of the neck. The technique has been used on 17 patients with thyroid and parathyroid disorders. In all cases one or more of the parathyroids have been demonstrated with histological confirmation, but with greater experience almost all have been shown readily. This has resulted in an appreciable reduction in operating time, and the method should help to reduce the high incidence of clinical hypoparathyroidism after total thyroidectomy.
术前经静脉输注亚甲蓝后再行颈部探查，使得甲状旁腺组织的快速识别成为可能。该技术已应用于17例甲状腺和甲状旁腺疾病患者。在所有病例中，均经组织学证实发现了一个或多个甲状旁腺，但随着经验的增加，几乎所有甲状旁腺都能很容易地被发现。这使得手术时间明显缩短，该方法应有助于降低全甲状腺切除术后临床甲状旁腺功能减退的高发生率。
