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一个积极的副甲状腺洗可能会避免在副甲状腺腺瘤定位方面需要核光学:一项回顾性研究

Alexander Moise¹, Mawaddah Abdulhaleem^2,3, Saruchi Bandargal¹

¹Faculty of Medicine and Health Sciences, McGill University, Montreal, Canada.

Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale

|December 19, 2024

概括

甲状腺激素 (PTH) 冲洗是一种可靠的手术前定位方法,用于甲状腺腺瘤 (PA) 在微创性甲状腺切除术 (MIP) 期间. 阳性PTH洗可能会消除对sestamibi (MIBI) 扫描的需要,减少患者的测试和辐射暴露.

科学领域:

内分泌学在内分泌学.
手术瘤学手术瘤学
放射学放射学是一门学科.

背景情况:

副甲状腺腺瘤 (PA) 的最小侵入性副甲状腺切除术 (MIP) 依赖于精确的手术前定位.
超声导向细针吸收冲洗对甲状腺激素 (PTH) 测试是一种潜在的局部化工具.
对于PTH洗与传统的sestamibi (MIBI) 扫描用于PA局部化的补充作用仍然不清楚.

研究的目的:

为了确定一个积极的PTH洗是否避免了在手术前的副甲状腺腺瘤 (PA) 局部化中进行塞萨米比 (MIBI) 扫描的需要,以进行微创性副甲状腺切除术 (MIP).

主要方法:

2018年至2022年间接受MIP的成年患者的多中心回顾性比较审查.
纳入标准:患有PTH洗和MIBI扫描PA局部化的患者,可用的组织病理学,以及记录的术前/术后结果.
分析的重点是MIBI扫描的贡献,当PTH洗是积极的.

主要成果:

在分析的87名患者中,74.7%的患者呈阳性PTH洗.
在阳性PTH洗的患者中,MIBI扫描正确检测到90.8%的副甲状腺腺瘤 (PA).
在阳性PTH冲洗的情况下,MIBI扫描没有提供额外的有意义信息.

结论:

建议进行手术前专用超声波,然后进行PTH冲洗,作为PA局部化的初始标准程序.
阳性PTH洗可能成为MIP手术的唯一局部化方法.
使用PTH洗可以减少患者的检测,辐射暴露和医疗保健成本.

关键词:

在PTH测试试验中,在 PTH 清洗过程中.Tc 99m sestamibi光摄影的使用方法宫超声波扫描 - - 宫超声波扫描副甲状腺腺瘤副甲状腺腺瘤副甲状腺细针吸收活检活检甲状腺上腺激素激素的作用术前局部化术前局部化

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