甲状腺术中甲状旁腺的识别与保护临床新进展

随着甲状腺肿瘤发生率的上升,甲状腺外科手术数量日益增加。甲状腺切除手术和中央区淋巴结清扫是临床上治疗甲状腺癌的重要手段,甲状旁腺功能减退和低钙血症等术后并发症发生率较高是困扰临床医生的重要问题,其原因是手术过程中对甲状旁腺的识别与保护较为困难。近年来,国内外学者报道了多种术中甲状旁腺识别的新技术,本文就这些技术进展进行综述。

Clinical progress of intraoperative identification and protection of parathyroid glands

As the incidence of thyroid disease continues to rise,the need for surgical treatment is increasing.Total thyroidectomy and central lymph node dissection are important methods for clinical treatment of thyroid cancer.However,the incidence of postoperative complications of hypoparathyroidism and hypocalcemia is still relatively high.The main reason for the complications is the inaccurate identification of the parathyroid glands during the surgical procedure.In recent years,many scholars at home and abroad have reported a variety of new parathyroid gland recognition techniques during surgery,and this article reviews and analyzes these technological advances.