在甲状腺和部手术期间保护副甲状腺腺
Smitha S Rao1, Himagirish Rao2, Zia Moinuddin3,4
1Department of Endocrine and Breast Surgery, Oncology, K.S. Hegde Medical Academy, Nitte University, Mangalore, India.
Frontiers in endocrinology
|June 16, 2023
概括
在甲状腺手术期间保护副甲状腺是维持平衡的关键. 了解解剖学和使用先进的技术有助于预防下甲状腺症,确保正常的内分泌功能.
科学领域:
- 内分泌学 在内分泌学.
- 手术解剖学手术解剖学
- 在瘤学瘤学.
背景情况:
- 甲状腺腺通过甲状腺激素 (PTH) 调节和酸盐平衡.
- 甲状腺手术经常导致副甲状腺损伤,导致高达30%的患者患有甲状腺缺陷症.
- 在甲状腺切除术和其他部手术期间,保护副甲状腺是非常重要的.
研究的目的:
- 为了强调在甲状腺手术期间保护副甲状腺的重要性.
- 审查对副甲状腺损伤的解剖学考虑和危险因素.
- 讨论手术内侧甲状腺体识别和保存的技术.
主要方法:
- 对甲状腺保护的解剖变异和外科手术技术的审查.
- 讨论手术内识别方法,如光绿色氨酸 (ICG) 光.
- 分析导致意外侧甲状腺切除术和低侧甲状腺功能障碍的危险因素.
主要成果:
- 彻底的解剖学知识是对甲状腺保护的关键.
- 包括ICG光和显微镜在内的各种技术有助于识别副甲状腺腺.
- 手术技术,外科医生的专业知识和患者因素都会影响副甲状腺损伤的风险.
结论:
- 细致的手术剖析和手术内识别对于保护甲状腺功能至关重要.
- 防止意外的甲状腺切除术是避免手术后甲状腺功能低下症的最有效策略.
- 副甲状腺自移植作为意外副甲状腺切除的管理选择.
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