[吲哚青绿血管造影术在甲状旁腺次全切除术后甲状旁腺残余灌注评估中的应用:一份病例报告]。

Q4 Medicine Khirurgiya Pub Date : 2024-01-01 DOI:10.17116/hirurgia202402261
V V Polkin, P A Isaev, N V Severskaya, S A Ivanov, A D Kaprin
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引用次数: 0

摘要

一名72岁的慢性肾病期女性患者患有多发性甲状旁腺腺瘤和三级甲状旁腺功能亢进症。使用99m锝-MIBI的SPECT/CT显示,放射性药物在4个甲状旁腺中的2个聚集。超声波确定了所有甲状旁腺的位置。患者接受了甲状旁腺次全切除术,切除了3个腺体,并切除了第4个腺体的一半。术中进行了吲哚菁绿血管造影,以确定所有甲状旁腺和残余灌注。6个月后,患者的甲状旁腺功能恢复正常。
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[Indocyanine green angiography in assessment of parathyroid remnant perfusion after subtotal parathyroidectomy: a case report].

A 72-year-old female patient with chronic kidney disease stage presented with multiple parathyroid adenomas and tertiary hyperparathyroidism. SPECT/CT with 99mTc-MIBI revealed accumulation of radiopharmaceuticals in 2 out of 4 parathyroid glands. Ultrasound established localization of all parathyroid glands. Subtotal parathyroidectomy with excision of 3 glands and resection of half of the fourth gland was performed. Intraoperative indocyanine green angiography was performed to identify all parathyroid glands and remnant perfusion. There was normal parathyroid function after 6 months.

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来源期刊
Khirurgiya
Khirurgiya Medicine-Medicine (all)
CiteScore
0.70
自引率
0.00%
发文量
161
期刊介绍: Хирургия отдельных областей сердце, сосуды легкие пищевод молочная железа желудок и двенадцатиперстная кишка кишечник желчевыводящие пути печень
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