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Synthesis and Regulation of Thyroid Hormones01:20

Synthesis and Regulation of Thyroid Hormones

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Low blood levels of the thyroid hormones — triiodothyronine (T3) and thyroxine (T4) — signal the hypothalamus to release the thyrotropin-releasing hormone (TRH). TRH then reaches the pituitary gland and stimulates the release of thyroid-stimulating hormone(TSH) into the bloodstream.
Upon reaching the thyroid gland, TSH stimulates the follicular cells' active uptake of iodide ions from the blood. The ions diffuse to the apical surface of the cells and are oxidized to iodine. The...
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相关实验视频

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Transoral Robotic Total Thyroidectomy and Bilateral Central Regional Lymph Node Dissection for Papillary Thyroid Carcinoma
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没有排水的甲状腺手术,包括囊或中央部剖析:一个病例对照研究.

Oded Cohen1,2,3, Noa Dagul Amiad4, Eitan Shavit4

  • 1ARM-Center for Otolaryngology-Head and Neck Surgery Center and Oncology, Assuta Medical Center, 20 Habarzel Street, Tel Aviv, Israel. odedco@assuta.co.il.

European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery
|December 6, 2023
PubMed
概括

无排水的甲状腺手术是可行的复杂的病例,如子和中央部解剖 (CND). 与传统方法相比,这些先进的无排水程序不会显著增加血清瘤或感染率.

关键词:
中部部解剖 部解剖排水管道的排水管道.痛风 (Goiter) 是一种疾病.血清 (Seroma) 是一种血清.甲状腺是什么?甲状腺是什么?

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科学领域:

  • 内分泌学 在内分泌学.
  • 手术瘤学手术瘤学
  • 头部和部手术 头部和部手术

背景情况:

  • 有限的证据表明,无排水性甲状腺手术在子和中央部解剖 (CND) 中存在.
  • 简单的无排水甲状腺切除术的可行性已经确立,但复杂的病例需要进一步调查.

研究的目的:

  • 评估无排水全甲状腺切除术 (TT) 的可行性和安全性,用于患有甲状腺的患者和接受中央部解剖 (CND) 的患者.
  • 在复杂的场景中,在无排水和传统甲状腺切除技术之间比较术后结果,特别是血清瘤率.

主要方法:

  • 一项回顾性研究包括了156名在2017年1月至2022年7月期间接受全甲状腺切除术 (TT) 的患者.
  • 研究组:有CND的无排水型TT,有的无排水型TT,没有的无排水型TT,有或有CND的排水型TT.
  • 测量的主要结果是术后血清瘤率.

主要成果:

  • 术后血清瘤发生在5.8%的患者中,仅限于研究组 (无排水的TT与CND或).
  • 没有观察到永久性低血症,其他并发症,局部感染,愿望或分泌后排水插入率在两组之间有显著差异.
  • 总共有156名患者符合每个组的纳入标准.

结论:

  • 复杂的无排水甲状腺手术,包括子手术和中央部剖析 (CND) 是可行的.
  • 这些先进的无排水技术似乎并没有显著提高术后血清瘤或感染的发生率.