在外科手术内进行的氨酸绿色血管造影,用于预测术后的缺甲状腺症
Volodymyr V Grubnik1, Roman S Parfentiev1, Yurii V Grubnik1
1Odessa National Medical University, Dobrovolskoho Avenue 90, App. 78, Odesa, Ukraine.
Surgical endoscopy
|September 18, 2023
概括
接近红外的光成像与绿色血管造影有助于外科医生在甲状腺切除术期间识别和保存副甲状腺,显著减少术后的低血症. 这种技术改善了副甲状腺评估,减少了对自身移植的需要.
科学领域:
- 内分泌手术 内分泌手术
- 手术成像技术手术成像技术
背景情况:
- 手术后的低血是甲状腺切除术后的常见并发症.
- 它主要是由于无意中去除甲状腺腺 (PG) 或去除甲状腺腺 (PG) 引起的.
研究的目的:
- 评价近红外 (NIR) 光成像与手术内氨酸绿色 (ICG) 血管造影的疗效,用于在全甲状腺切除术期间识别和保存副甲状腺腺.
- 评估该技术对预防术后低血症的影响.
主要方法:
- 一项随机对照试验,涉及92名接受全甲状腺切除术的患者.
- 主组 (44名患者) 接受了NIR辅助手术与ICG血管造影,而对照组 (48名患者) 接受了标准甲状腺切除术.
- 血清和副甲状腺激素水平在各种间隔下进行了术后监测.
主要成果:
- 在对照组的16.7%发生过渡性术后低血症,而ICG组的4.5%.
- 甲状腺附带腺体自移植的需要在ICG组的16名患者中被确定,而对照组的5名患者.
- 在3个月后,对照组的2名患者观察到永久性低血症.
结论:
- 带有ICG血管造影的NIR光成像是一种安全和可重现的方法,用于增强副甲状腺可视化和评估输液.
- 这种技术可以比单纯的视觉检查更客观地确定甲状腺附带腺体自移植的需要.
- 使用ICG血管造影可以显著降低全甲状腺切除术后术后低血症的发生率.
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