术中通过亚甲蓝识别甲状旁腺。

Intraoperative identification of parathyroids by means of methylene blue.

作者信息

Derom A, Wallaert P, Janzing H, Van den Brande F, Derom F

机构信息

Department of Surgery, Universitair Ziekenhuis, Gent, Belgium.

出版信息

Acta Chir Belg. 1994 Mar-Apr;94(2):97-100.

PMID:8017159

Abstract

In 134 cervical explorations for hyperparathyroidism, methylene blue was administered intraoperatively to stain parathyroid glands. Seventy-seven out of 79 adenomas (97.5%) and 199 out of 204 hyperplastic glands (97.6%) were clearly stained. The only recurrences were observed in patients undergoing surgery for hyperplasia of the parathyroid glands. The recurrences (12%) were mainly due either to initial wrong diagnosis of parathyroid adenoma, or they were graft dependent. Methylene blue is an effective, safe and easy way to localize and identify abnormal parathyroid glands, thereby improving the results and shortening the operating time.

摘要

在134例因甲状旁腺功能亢进进行的颈部探查手术中，术中给予亚甲蓝以对甲状旁腺进行染色。79个腺瘤中的77个（97.5%）以及204个增生腺体中的199个（97.6%）被清晰染色。仅在接受甲状旁腺增生手术的患者中观察到复发情况。复发率为12%，主要原因要么是最初对甲状旁腺腺瘤的诊断错误，要么是与移植有关。亚甲蓝是一种有效、安全且简便的定位和识别异常甲状旁腺的方法，从而改善手术效果并缩短手术时间。