이차성 부갑상선항진증의 부갑상선절제술 시Methylene Blue 주입술의 유용성

차원재; 하정훈; 장동엽; 정영호; 정은정; 성명훈; 김광현

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자료유형: 학술저널

저자정보: 차원재 하정훈 장동엽 정영호 정은정 성명훈 김광현

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제50권 제1호

발행연도: 2007.1

수록면: 64 - 72 (9page)

이용수

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연구주제

📖

연구배경

🔬

연구방법

🏆

연구결과

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Background and Objectives：The localization of parathyroid The purpose of this study was to introduce the intraoperative methylene blue infusion as a localization modality of parathyroid glands and to determine the usefulnes of intraoperative methylene blue infusion for localization of parathyroid glands in secondary hyperparathyroidism. Materials and Method：Seven prospective cases of secondary hyperparathyroidism surgicaly treated from Sep. 2004 to Mar. 2006 were included in this study. In parathyroidectomy, intraoperative methylene blue infusion for localization of parathyroid glands was performed. Results：In six cases of initial operation, four parathyroid glands were well stained and in a case of reoperation, thre parathyroid glands were stained. After the surgery, all patients were well controlled in symptoms and calcium levels in blood serum, and 6 patients reached normal iPTH levels in serum. Conclusion：Intraoperative methylene blue infusion is an efective localization tool in parathyroidectomy for secondary hyperparathyroidism. (Korean J Otolaryngol 2007 ;50 :64-9)

#이차성 부갑상선항진증·부갑상선절제술·Methylene blue. #Secondary hyperparathyroidism· Parathyroidectomy· Methylene blue.

참고문헌 (17)

참고문헌 신청

/ 1966 / Demonstration of the parathyroids during surgery in dogs, with preliminary report of results in some clinical cases : 11 ~

/ 1968 / In vivo staining of the para-thyroid glands. A clinical study

/ 1983 / The role of methylene blue infusion in the management of persistent or recurrent hyperparathyroidism 94 (6) : 916 ~ 918

/ 1985 / Intraoperative localization of parathyroid glands using methylthionine chloride/tetramethylthionine chloride in secondary hyperparathyroidism : 1041 ~ 2

/ 1995 / Comparison of preoperative imaging techniques (thallium techne-tium scan and ultrasonography) and intraoperative staining (with methylene blue) in localizing the par

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