中国普外基础与临床杂志

中国普外基础与临床杂志

术中识别甲状旁腺光学技术的研究进展

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目的 对术中识别甲状旁腺光学技术进行再认识并探讨其在甲状腺术中对保护甲状旁腺的应用价值。 方法 以“甲状腺切除术”“甲状旁腺”“近红外线成像”“激光散斑对比度成像”和“光学相干断层扫描”为检索词检索文献,对术中识别甲状旁腺光学技术的原理、应用现状等研究进行文献综述。 结果 术中光学技术单独或与造影剂结合使用能够提高甲状旁腺的识别率,减少营养血供的损伤,从而降低术后低钙血症的发生率。 结论 传统的术中甲状旁腺识别方法在实时保护效用及准确性上有待提高,而新兴的光学技术与造影剂结合能够很大程度地弥补这些缺憾,但在推广上仍有阻碍。

Objective To recognize the intraoperative recognition of parathyroid gland optical technology and explore its application value in thyroid surgery to protect the parathyroid gland. Methods Literature review was conducted on the principle and application status of intraoperative recognition of parathyroid gland optical technology by using " thyroidectomy”, " parathyroid gland” " Near-Infrared imaging” " laser speckle contrast imaging” " optical coherence tomography” as retrieval terms to retrieve literatures. Results Intraoperative optical technique alone or in combination with contrast agent could improve the recognition rate of parathyroid gland, reduce the damage of feeding vessels, and thus reduce the incidence of postoperative hypocalcemia. Conclusions Traditional intraoperative parathyroid gland recognition methods needs to be improved in real-time protection effectiveness and accuracy, and the combination of new optical technology and contrast agent can largely make up for these shortcomings, but there are still obstacles in the promotion.

关键词: 光学技术; 甲状旁腺; 甲状腺切除术; 综述

Key words: optical technology; parathyroid glands; thyroidectomy; review

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