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首页> 外文期刊>Indian Journal of Nuclear Medicine >Tc-99m radio-guided completion thyroidectomy for differentiated thyroid carcinoma
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Tc-99m radio-guided completion thyroidectomy for differentiated thyroid carcinoma

机译：Tc-99m放射性完全性甲状腺切除术治疗分化型甲状腺癌

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摘要

Background:The purpose of this study is to investigate whether or not radio-guided surgery has any beneficial effects on completion thyroidectomy (CT) and the associated complication rates.Patients and Methods:Twenty-seven patients were scheduled for CT, for thyroid carcinoma, from December 2004 to June 2005, and were included in the study. All the patients had had initial thyroid surgery in other centers and been referred to our clinic for CT. Operation findings and the effectiveness of Tc-99m radio-guided CT were analyzed.Results:The intraoperative mean ratio of thyroid activity to background activity counted with a gamma probe was 1.3 ± 0.3. Average operation timing was 74 ± 9 minutes. Postoperatively, no residual tissue was detected in any of the patients with ultrasonography and thyroid scintigraphy. In the first postoperative month, serum TSH level was 61 ± 16.4 mIU / L, when preoperatively it was 7.3 ± 3.1 mIU / L (P < 0.001). In the postoperative period, one patient experienced temporary hypoparathyroidism (3.9%). Permanent hypoparathyroidism or recurrent laryngeal nerve damage was not detected in any patient.Conclusion:Tc-99 radio-guided CT is a reliable surgical method, which provides the detection and removal of residual thyroid tissues with minimal complications.
机译：背景：本研究的目的是研究放射导向手术对完成甲状腺切除术（CT）及其相关并发症的发生率是否有任何有益影响。患者与方法：27例患者计划接受CT，甲状腺癌，从2004年12月至2005年6月，并被纳入研究。所有患者均已在其他中心进行了甲状腺手术，并已转诊至我们的CT诊所。结果：采用伽马探针计数的术中甲状腺活动与本底活动的术中平均比率为1.3±0.3。平均操作时间为74±9分钟。术后，超声检查和甲状腺闪烁显像患者均未发现残留组织。术后第一个月的血清TSH水平为61±16.4 mIU / L，而术前为7.3±3.1 mIU / L（P <0.001）。术后1例患者发生暂时性甲状旁腺功能低下（3.9％）。结论：Tc-99放射引导CT是一种可靠的外科手术方法，可检测和清除残留的甲状腺组织，且并发症的发生率最低。

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