副甲状腺腺瘤手术管理的结果
Gargi Dhingani1, Akshat Malik1, Vikram Singh1
1Department Of Surgical Oncology, Max Superspeciality Hospital, Saket, New Delhi, 110017 India.
概括
副甲状腺瘤手术有效地治疗了症状性原发性副甲状腺炎症. 这项研究表明副甲状腺切除术是安全的,PTH和水平显著降低,没有并发症.
科学领域:
- 内分泌学 在内分泌学.
- 手术瘤学手术瘤学
- 神经外科 神经外科
背景情况:
- 原发性偏甲状腺症 (PHPT) 是一种常见的内分泌疾病.
- 症状性PHPT可以导致显著的发病率.
- 手术干预,副甲状腺切除术,是PHPT的最终治疗方法.
研究的目的:
- 描述甲状腺腺瘤手术的结果.
- 评估手术前局部化和手术内生化监测的有效性.
- 评估术后并发症和患者康复情况.
主要方法:
- 在2016年1月至2020年12月间对15名副甲状腺腺瘤患者进行过手术的回顾性分析.
- 通过血清和副甲状腺激素 (PTH) 水平确认了诊断.
- 使用超声波 (USG) 的术前定位.
- 基于NIH标准的手术决定.
- 在手术期间使用罗马标准进行PTH监测,以确认切除的充分性.
主要成果:
- 所有15名患者都有症状,肌痛是最常见的症状 (34%).
- 切除后血清PTH的平均降低为69.9%,血清的平均降低为20.6%.
- 平均腺瘤大小为2.5厘米.
- 没有报告手术后并发症.
- 所有患者在手术后都获得了正常血症.
结论:
- 副甲状腺切除术是一种安全有效的治疗症状性原发性副甲状腺功能障碍症.
- 术前定位和术后生化监测对于成功的外科手术结果至关重要.
- 手术管理显著降低了患者的发病率.
相关概念视频
The Parathyroid Glands
2.1K
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...
2.1K
Appendicitis-II: Diagnostic Studies and Management
80
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
80
Peripheral Artery Disease V: Postoperative Nursing Management
11
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
11
Peptic Ulcer Disease V: Surgical Management and Nursing Care
311
Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease
Surgical Interventions for Peptic Ulcer Disease
311
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
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


