视觉评分和副甲状腺功能之间的相关性
Leyre Lorente-Poch1,2, Maite de Miguel-Palacio1, Joan Sancho-Insenser1,2
1Endocrine Surgery Unit, General Surgery Department, Hospital del Mar, Parc de Salut Mar, Barcelona, Spain.
Frontiers in endocrinology
|July 17, 2023
概括
本综述探讨了在甲状腺切除术期间常规甲状腺前腺体识别的辩论. 它分析了在青素 (ICG) 之前使用的视觉评估方法,以预测手术后的副甲状腺功能.
科学领域:
- 内分泌手术 内分泌手术
- 手术瘤学手术瘤学
- 甲状腺学 甲状腺学
背景情况:
- 在甲状腺切除术期间,保护副甲状腺是非常重要的,以预防甲状腺功能低下症.
- 准确的副甲状腺腺体的手术内鉴定仍然是一个挑战.
- 印度洋前绿色 (ICG) 技术依赖于视觉评估来识别腺体.
研究的目的:
- 在甲状腺切除术中审查和总结围绕常规副甲状腺腺识别的争议.
- 评估视觉评分系统在预测甲状腺功能方面的有效性.
- 在先进的成像技术之前,分析甲状腺识别的历史方法.
主要方法:
- 对评估视觉分数用于甲状腺功能预测的出版物的系统审查.
- 分析在ICG前时期进行的研究.
- 文献搜索侧重于甲状腺切除术结果和副甲状腺评估.
主要成果:
- 视觉评估方法在预测甲状腺功能方面显示了可变的准确性.
- 关于视觉评分的可靠性和标准化存在争议.
- 在ICG前的时代,在确保甲状腺前腺体识别和功能的一致性方面面临着重大挑战.
结论:
- 在ICG前的时代,常规的副甲状腺识别方法往往是主观的,缺乏一致的预测能力.
- 仅视觉评估可能不足以可靠地预测甲状腺功能.
- 这些发现凸显了在术后副甲状腺评估中需要客观方法的需要.
相关概念视频
The Parathyroid Glands
2.2K
The two pairs of parathyroid glands embedded within the posterior surface of the thyroid gland are restricted by a dense capsule around them. These glands comprise two distinct cell populations—parathyroid oxyphil and parathyroid principal cells- pivotal in calcium homeostasis.
Oxyphil cells, whose functions remain elusive, emerge during late puberty, adding a layer of complexity to the parathyroid gland's intricacies. In contrast, principal parathyroid cells undertake a vital role by...
Oxyphil cells, whose functions remain elusive, emerge during late puberty, adding a layer of complexity to the parathyroid gland's intricacies. In contrast, principal parathyroid cells undertake a vital role by...
2.2K
Imaging Studies for Cardiovascular System VI: Calcium -Scoring CT
42
Calcium-Scoring CT ScanA calcium-scoring CT scan, also known as coronary artery calcium (CAC) scan, detects calcium deposits in the coronary arteries. This test assesses the risk of coronary artery disease (CAD), which can lead to cardiovascular events such as angina, heart failure, and sudden cardiac arrest.A calcium-scoring CT scan is generally recommended for individuals at intermediate risk of CAD without symptoms. It includes:Men aged 40-75 and women aged 50-75: Especially those with a...
42
Hormones and Bone Tissue
2.7K
The endocrine system produces and secretes hormones, which interact with the skeletal system. These hormones control bone growth, maintain bone once it is formed, and remodel it.
Hormones That Influence Osteoblasts and/or Maintain the Matrix
Several hormones are necessary for controlling bone growth and maintaining the bone matrix. The pituitary gland secretes growth hormone (GH), which, as its name implies, controls bone growth. This happens in several ways: first, it triggers chondrocyte...
Hormones That Influence Osteoblasts and/or Maintain the Matrix
Several hormones are necessary for controlling bone growth and maintaining the bone matrix. The pituitary gland secretes growth hormone (GH), which, as its name implies, controls bone growth. This happens in several ways: first, it triggers chondrocyte...
2.7K
Skeleton and Calcium Homeostasis
4.6K
Calcium is not only the most abundant mineral in bone but also the most abundant mineral in the human body. Calcium ions are needed for bone mineralization, tooth health, heart rate regulation and strength of contraction, blood coagulation, the contraction of smooth and skeletal muscle cells, and the regulation of nerve impulse conduction. The average calcium level in the blood is about 10 mg/dL. When the body cannot maintain this level, a person will experience hypo or hypercalcemia.
4.6K
The Thyroid Gland
4.0K
The thyroid gland is a small, butterfly-shaped gland located in the neck and covers the anterior surface of the trachea. The gland has two lateral lobes connected by a thin tissue mass called the isthmus. Internally, each lobe comprises many small spherical structures known as thyroid follicles, surrounded by a network of blood vessels.
The follicles have a central cavity lined by simple cuboidal to squamous epithelial cells called follicular cells. These cells produce the glycoprotein...
The follicles have a central cavity lined by simple cuboidal to squamous epithelial cells called follicular cells. These cells produce the glycoprotein...
4.0K
Synthesis and Functions of Calcitonin
2.0K
Calcitonin, a vital polypeptide hormone, regulates calcium levels within body fluids. It is released by the parafollicular cells, also known as C cells, situated in the follicular epithelium of the thyroid gland. Calcitonin responds to fluctuations in blood calcium levels and the influence of gastrointestinal hormones like gastrin and cholecystokinin.
The exact mechanisms by which calcitonin operates in calcium homeostasis remain elusive, but its significance is evident in several vital...
The exact mechanisms by which calcitonin operates in calcium homeostasis remain elusive, but its significance is evident in several vital...
2.0K


