Application of nano-carbon parathyroid negative imaging technique under magnifying glass in thyroidectomy

WU Jian-jun; ZHANG Xue-sen; HAN Ya-jing; LEI Jian-ru; WEI Xue-li

doi:10.11659/jjssx.09E022015

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Application of nano-carbon parathyroid negative imaging technique under magnifying glass in thyroidectomy

Clinical Research | 更新时间：2023-06-13

- Application of nano-carbon parathyroid negative imaging technique under magnifying glass in thyroidectomy
- JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY Vol. 32, Issue 6, Pages: 503-505(2023)
- 作者机构：
  
  山西省大同市第五人民医院普外科，山西大同 037006
- 作者简介：
- 基金信息：
- DOI：10.11659/jjssx.09E022015
  CLC： R615
- Published：25 June 2023，
  
  Received：03 September 2022，
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吴建军,张学森,韩雅婧等.放大镜下纳米炭甲状旁腺负显影技术在甲状腺切除术中的应用[J].局解手术学杂志,2023,32(06):503-505.

WU Jian-jun,ZHANG Xue-sen,HAN Ya-jing,et al.Application of nano-carbon parathyroid negative imaging technique under magnifying glass in thyroidectomy[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2023,32(06):503-505.
吴建军,张学森,韩雅婧等.放大镜下纳米炭甲状旁腺负显影技术在甲状腺切除术中的应用[J].局解手术学杂志,2023,32(06):503-505. DOI： 10.11659/jjssx.09E022015.

WU Jian-jun,ZHANG Xue-sen,HAN Ya-jing,et al.Application of nano-carbon parathyroid negative imaging technique under magnifying glass in thyroidectomy[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2023,32(06):503-505. DOI： 10.11659/jjssx.09E022015.

摘要

目的

探讨放大镜下纳米炭甲状旁腺负显影技术在甲状腺切除术中的应用效果。

方法

回顾性分析本院100例行甲状腺切除术患者的临床资料。根据术者是否配戴眼镜式放大镜将患者分为对照组（

=49）与观察组（

=51）。比较2组围术期指标，血清甲状旁腺素（PTH）、血钙水平，并发症及复发情况。

结果

观察组手术时间、术后住院时间短于对照组，术中出血量少于对照组，淋巴结清扫数多于对照组，差异均具有统计学意义(

0.05)。2组患者术后总引流量、引流时间比较差异无统计学意义(

0.05)。2组患者术后血清PTH、血钙水平均较术前降低（

0.05），但观察组血清PTH、血钙水平均显著高于对照组（

0.05）。观察组并发症总发生率低于对照组（

0.05）。2组复发率比较差异无统计学意义（

0.05）。

结论

纳米炭甲状旁腺负显影技术结合放大镜应用于甲状腺切除术中可有效减少对甲状旁腺组织的损伤，降低并发症发生率。

Abstract

Objective

To investigate the application effect of nano-carbon parathyroid negative imaging technique under magnifying glass in thyroidectomy.

Methods

The clinical data of 100 patients underwent thyroidectomy in our hospital were retrospectively analyzed.According to whether the operator wore magnifying glass or not

the patients were divided into the control group(

=49) and the observation group(

=51). The perioperative indicators

serum parathyroid hormone (PTH)

blood calcium

complications

and recurrence of patients in the two groups were compared.

Results

The operation time and postoperative hospital stay of the observation group were shorter than those of the control group

the intraoperative blood loss was less than that of the control group

and the number of lymph node dissection was more than that of the control group

and the differences were statistically significant (

0.05).There was no difference in the total drainage volume or drainage time between the two groups (

0.05). The levels of serum PTH and blood calcium in the two groups after operation were lower than those before operation(

0.05)

but the serum PTH and blood calcium levels in the observation group were significantly higher than those in the control group (

0.05).The total incidence of complications in the observation group was lower than that in the control group (

0.05).There was no difference in the recurrence rate between the two groups (

0.05).

Conclusion

The application of nano-carbon parathyroid negative imaging technique combined with magnifying glass in thyroidectomy can effectively reduce the damage of the parathyroid tissues

which has lower incidence of complications.

关键词

纳米炭甲状旁腺负显影技术甲状腺切除术放大镜甲状旁腺功能

Keywords

nano-carbon parathyroid negative imaging techniquethyroidectomymagnifying glassparathyroid function

references

潘丽洁，赵菁，康骅.甲状旁腺解剖的再认识及其在临床应用中价值的研究进展［J］.中国普外基础与临床杂志，2018，25（11）：1389-1397.doi：10.7507/1007-9424.201805006http://dx.doi.org/10.7507/1007-9424.201805006.

Frey S，Figueres L，Pattou F，et al.Impact of permanent post-thyroidectomy hypoparathyroidism on self-evaluation of quality of life and voice：results from the national QoL-hypopara study［J］.Ann Surg，2021，274（5）：851-858.doi：10.1097/SLA.0000000000005129http://dx.doi.org/10.1097/SLA.0000000000005129.

肖雄升，张远起，张智，等.纳米碳负显影在甲状腺乳头状癌手术中对甲状旁腺的保护作用［J］.山东医药，2018，58（44）：76-78.doi：10.3969/j.issn.1002-266X.2018.44.022http://dx.doi.org/10.3969/j.issn.1002-266X.2018.44.022.

张颖超，伍波，樊友本.术中甲状旁腺光学定位与活性判断在甲状腺和甲状旁腺外科的应用前景［J］.中华内分泌外科杂志，2020，14（5）：432-435.doi：10.3760/cma.j.cn.115807-20200426-00136http://dx.doi.org/10.3760/cma.j.cn.115807-20200426-00136.

中华医学会内分泌学会《中国甲状腺疾病诊治指南》编写组.中国甲状腺疾病诊治指南——甲状腺结节［J］.中华内科杂志，2008，47（10）：867-868.doi：10.3321/j.issn：0578-1426.2008.09.032http://dx.doi.org/10.3321/j.issn：0578-1426.2008.09.032.

Basceken SI，Genc V，Ersoz S，et al.Is local resection sufficient for parathyroid carcinoma？［J］.Clinics （Sao Paulo），2015，70（4）：247-249.doi：10.6061/clinics/2015（04）05http://dx.doi.org/10.6061/clinics/2015（04）05.

詹璐，胡薇.甲状旁腺显影及定位技术方法的研究进展［J］.山东医药，2018，58（46）：96-100.doi：10.3969/j.issn.1002-266X. 2018.46.027http://dx.doi.org/10.3969/j.issn.1002-266X.2018.46.027.

别克扎提·再孜提汉，潘金强，陈辉，等.纳米碳对甲状腺癌患者甲状腺全切加双侧中央区清扫术中甲状旁腺功能的保护作用［J］.医学综述，2019，25（22）：4546-4550.doi：10.3969/j.issn.1006-2084.2019.22.035http://dx.doi.org/10.3969/j.issn.1006-2084.2019.22.035.

花苏榕，廖泉.甲状腺癌术后复发再手术中甲状旁腺和神经保护［J］.中国实用外科杂志，2021，41（8）：871-874.doi：10.19538/j.cjps.issn1005-2208.2021.08.08http://dx.doi.org/10.19538/j.cjps.issn1005-2208.2021.08.08.

周博，李凌，崔振英，等.甲状腺微小乳头状癌手术中应用纳米炭结合精细被膜解剖法对保护甲状旁腺的效果［J］.实用癌症杂志，2018，33（6）：908-910.doi：10.3969/j.issn.1001-5930. 2018.06.012http://dx.doi.org/10.3969/j.issn.1001-5930.2018.06.012.

王平云，杨贺庆，葛昆朋.纳米碳示踪技术与超声造影术对甲状腺癌手术患者近期结局的影响［J］.中华生物医学工程杂志，2022，28（1）：43-48.doi：10.3760/cma.j.cn115668-20210713-00168http://dx.doi.org/10.3760/cma.j.cn115668-20210713-00168.

田文，费阳，郗洪庆.甲状腺手术中新技术的合理应用及展望［J］.中国实用外科杂志，2018，38（6）：600-604.doi：10.19538/j.cjps.issn1005-2208.2018.06.03http://dx.doi.org/10.19538/j.cjps.issn1005-2208.2018.06.03.

Davies LE，Kingston A，Todd A，et al.Prescribing at 95 years of age：cross-sectional findings from the Newcastle 85+ study［J］.Int J Clin Pharmacy，2022，44（4）：1072-1077.doi：10.1007/s11096-022-01454-zhttp://dx.doi.org/10.1007/s11096-022-01454-z.

费媛，赵婉君，苏安平，等.吲哚菁绿荧光显像技术在甲状腺手术中对甲状旁腺血供判断的应用［J］.中国普外基础与临床杂志，2020，27（9）：1094-1099.doi：10.7507/1007-9424.201912024http://dx.doi.org/10.7507/1007-9424.201912024.

郭方东，王文瑞，王勇.精细被膜解剖联合纳米炭示踪负显影技术对经口腔镜甲状腺手术中甲状旁腺保护的临床研究［J］.腹腔镜外科杂志，2020，25（2）：86-89.doi：10.13499/j.cnki.fqjwkzz. 2020.02.086http://dx.doi.org/10.13499/j.cnki.fqjwkzz.2020.02.086.

Stephanie R，Shantanu R，Nick S，et al.Do safety checklists improve teamwork and communication in the operating room？ A systematic review［J］.Ann Surg，2018，258（6）：856-871.doi：10.1097/SLA.0000 000000000206http://dx.doi.org/10.1097/SLA.0000000000000206.

杨周，黄仁宏，余伟平，等.术中甲状旁腺定位技术研究进展［J］.中国普通外科杂志，2019，28（5）：612-617.doi：10.7659/j.issn.1005-6947.2019.05.014http://dx.doi.org/10.7659/j.issn.1005-6947.2019.05.014.

Bhalla J，Baduni N，Bansal P.Comparison of palanosetron with ondansetron for postoperative nausea and vomiting in patients undergoing laparoscopic cholecystectomy under general anesthesia［J］.J Min Access Surg，2015，11（3）：193-197.doi：10.4103/0972-9941.140219http://dx.doi.org/10.4103/0972-9941.140219.

秦彦超，秦东广，丁炜，等.甲状腺癌手术中纳米碳负显影技术的应用对甲状旁腺的保护作用［J］.中国药物与临床，2021，21（3）：451-452.doi：10.11655/zgywylc2021.03.041http://dx.doi.org/10.11655/zgywylc2021.03.041.

Pastoricchio M，Bernardi S，Bortul M，et al.Autofluorescence of parathyroid glands during endocrine surgery with minimally invasive technique［J］.J Endocrinol Invest，2022，45（7）：1393-1403.doi：10. 1007/s40618-022-01774-xhttp://dx.doi.org/10.1007/s40618-022-01774-x.

孙志强，宋智明，孙福良，等.纳米炭结合精细被膜解剖法对甲状腺癌术中喉返神经及甲状旁腺保护作用观察［J］.哈尔滨医科大学学报，2021，55（1）：55-58.doi：10.3969/j.issn.1000-1905. 2021.01.014http://dx.doi.org/10.3969/j.issn.1000-1905.2021.01.014.

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