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经皮酒精注射及造影剂注入对甲状旁腺肿瘤进行导管消融术

[Percutaneous transcatheter ablation of parathyroid gland tumors by alcohol injection and contrast media infusion].

作者信息

Günther R, Beyer J, Hesch H, Reinwein D

出版信息

Rofo. 1984 Jan;140(1):27-30. doi: 10.1055/s-2008-1052914.

Abstract

An attempt to obliterate the parathyroid glands by a catheter technique has been made in three patients with primary hyperparathyroidism. Two mediastinal tumours were defunctionalized with alcohol, and followup for 11 and 13 months showed that it had been successful. One cervical parathyroid tumour was over-injected with contrast medium, but there was a recurrence after 14 months, as indicated by rising serum calcium and parathormone levels. In selected cases the method may be an alternative to surgery, particularly in patients where previous surgery had been unsuccessful or if there is a high operative risk.

摘要

已对三名原发性甲状旁腺功能亢进患者尝试通过导管技术消除甲状旁腺。用酒精使两个纵隔肿瘤失去功能,11个月和13个月的随访表明该方法成功。对一个颈部甲状旁腺肿瘤过度注射了造影剂,但14个月后复发,血清钙和甲状旁腺激素水平升高表明了这一点。在某些特定病例中,该方法可能是手术的替代方案,特别是对于先前手术失败或手术风险高的患者。

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