Wagner P K, Rothmund M, Gabbert H, Krause U
Langenbecks Arch Chir. 1980;353(3):183-91. doi: 10.1007/BF01261962.
Cryopreservation of human parathyroid tissue achieved significance through the introduction of autologous transplantation in parathyroid surgery. The technique of cryopreservation and thawing is described. The functional integrity of frozen tissue was examined by checking its calcium-sensitivity which was compared with that of fresh tissue. This demonstrated a similar secretion pattern. Examination of the frozen tissue under the light and electronmicroscope showed almost all of the cells to be preserved. The indication for cryopreservation is given at total parathyroidectomy and autologous transplantation at primary and secondary hyperplasia, as well as at reintervention in primary hyperparathyroidism or in total thyroidectomy where it is not certain that living parathyroid tissue was left in situ.
通过在甲状旁腺手术中引入自体移植,人甲状旁腺组织的冷冻保存变得具有重要意义。文中描述了冷冻保存和解冻技术。通过检查冷冻组织的钙敏感性来检测其功能完整性,并与新鲜组织的钙敏感性进行比较。这显示出相似的分泌模式。在光学显微镜和电子显微镜下对冷冻组织进行检查,结果显示几乎所有细胞都得以保存。冷冻保存的适应证包括在原发性和继发性甲状旁腺增生行甲状旁腺全切除术及自体移植时,以及在原发性甲状旁腺功能亢进再次手术或甲状腺全切除术中,不确定是否有存活的甲状旁腺组织留在原位的情况。