이차성 부갑상선항진증의 부갑상선절제술 시Methylene Blue 주입술의 유용성
The Usefulness of Methylene Blue Infusion in Parathyroidectomy forSecondary Hyperparathyroidism
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Abstract
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)
참고문헌 (17)
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