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[用于皮皮甲状腺癌的跨口内镜甲状腺切除术中的绿色光血管学]

V V Polkin¹, P A Isaev¹, A K Plugar¹

¹Tsyb Medical Radiology Research Center, Obninsk, Russia.

|September 8, 2023

概括

绿色氨酸 (ICG) 血管造影改善了对甲状腺腺体的鉴定,用于皮质甲状腺癌 (PTC) 的跨口内镜甲状腺切除术 (TOETVA). 这种安全有效的方法有助于维护腺功能,并预测术后低血症.

科学领域:

内分泌学在内分泌学.
手术瘤学手术瘤学
医疗成像医学成像

背景情况:

乳头甲状腺癌 (PTC) 治疗通常涉及甲状腺切除术与部剖析.
在这些程序期间保护副甲状腺是预防低副甲状腺功能障碍的关键.
透口内镜视频化甲状腺切除术 (TOETVA) 是PTC的一种微创方法.

研究的目的:

评估印素绿色 (ICG) 血管学在PTCTOETVA期间识别副甲状腺的疗效.
评估ICG血管造影对副甲状腺保护和功能的安全性和影响.

主要方法:

对接受TOETVA和VI级部剖析的20名PTC患者的回顾性分析.
静脉注射ICG (5毫克×3) 的使用.
视觉检查和ICG血管造影用于甲状腺附近腺体的评估,包括光评估.

主要成果:

通过ICG血管造影,甲状腺侧腺体检测率从76.5%提高到94.1% (64/68腺体).
16名患者至少有一个通过ICG血管造影识别的血管化良好腺体,在手术后甲状腺激素水平正常.
没有任何并发症与ICG血管造影相关;在2/4的患者中发生过渡性小甲状腺功能下降症,没有确定的血管化腺体.

结论:

ICG血管造影是一种简单,安全和有效的工具,用于增强甲状腺前腺体的识别和保存,在TOETVA中用于PTC.
该方法有助于评估副甲状腺活力和功能,并预测术后低血症.

关键词:

光是一种光.甲状腺过敏症 (hypoparathyroidism) 是一种严重的疾病.氨酸绿色血管学氨酸绿色血管学皮囊性甲状腺癌是什么?副甲状腺腺体副甲状腺体甲状腺手术甲状腺手术

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