Basile C, Lacour B, Drüeke T, Chanard J
Surgery. 1980 Nov;88(5):677-81.
In the present work a simplified technique for cryopreservation of parathyroid glands was compared to the generally used technique needing a programmed freezer. Four groups of rats had total parathyroidectomy. In two of them the glands were cryopreserved and reimplanted 10 days after ablation. The other two groups had, respectively, immediate parathyroid autotransplantation and no autotransplantation. During a follow-up of 60 days, plasma calcium remained low and plasma phosphorus elevated in all aparathyroid rats of the last group. In the group of rats with immediate parathyroid reimplantation, both mean plasma calcium and phosphorus values rapidly returned to the normal values observed before operation. In the rats that had the simplified parathyroid cryopreservation technique, mean plasma phosphorus also returned to the normal range and mean plasma calcium to nearly normal. However, in the group of rats with the classical cryopreservation method, the mean plasma calcium and phosphorus levels remained far from normal in the majority of animals. It was concluded that parathyroid glands of the rat could be successfully autografted after previous freezing using a simplified cryopreservation technique. The results obtained were comparable with, even though not as perfect as, that observed after immediate autotransplantation. If suitable for human parathyroid gland fragments, this technique would allow a more general application of parathyroid tissue cryopreservation.
在本研究中,将一种简化的甲状旁腺冷冻保存技术与常用的需要程序冷冻仪的技术进行了比较。四组大鼠接受了甲状旁腺全切术。其中两组的甲状旁腺被冷冻保存,并在切除后10天重新植入。另外两组分别进行了甲状旁腺即刻自体移植和未进行自体移植。在60天的随访期间,最后一组所有甲状旁腺切除的大鼠血浆钙持续降低,血浆磷升高。在甲状旁腺即刻重新植入的大鼠组中,血浆钙和磷的均值迅速恢复到术前观察到的正常水平。在采用简化甲状旁腺冷冻保存技术的大鼠中,血浆磷均值也恢复到正常范围,血浆钙均值接近正常。然而,在采用经典冷冻保存方法的大鼠组中,大多数动物的血浆钙和磷水平仍远未恢复正常。研究得出结论,使用简化冷冻保存技术预先冷冻后,大鼠的甲状旁腺能够成功进行自体移植。所获得的结果与即刻自体移植后观察到的结果相当,尽管并不完美。如果该技术适用于人类甲状旁腺组织碎片,将使甲状旁腺组织冷冻保存得到更广泛的应用。