期刊文献+

光学相干层析术在甲状腺手术中的初步应用 被引量:2

Application of optical coherence tomography in thyroid surgery
原文传递
导出
摘要 目的:探讨光学相干层析术( Optical Coherence Tomography ,OCT)在甲状腺手术当中应用的可行性。方法收集天津医科大学肿瘤医院行全甲状腺切除术患者的手术标本,包括甲状旁腺、淋巴结、脂肪组织及甲状腺组织,采集其OCT图像与常规检查结果进行比较。结果患者的甲状旁腺、淋巴结、脂肪组织、甲状腺组织均获得清晰的高分辨率OCT图像,不同组织间及淋巴结转移灶和正常结构间可明确区分,从样品准备到成像结束,OCT平均用时约1 min,冰冻检查为25 min。结论 OCT成像清晰可辨,与常规组织学图像相契合,不同组织间易于区分,且用时短,对组织无损伤,将OCT技术应用于甲状腺手术当中进行甲状旁腺的识别与淋巴结转移的判定具有一定的可行性。 Objective To investigate the feasibility of using optical coherence tomography (OCT)in thy-roid surgery .Methods Surgical specimen including parathyroid gland , lymph nodes , adipose tissue and thyroid tissue from patients receiving thyroid surgery in Tianjin Medical University Cancer Institute and Hospital were col -lected.OCT images were collected and the results were compared with the routine examination .Results Para-thyroid glands , lymph nodes , adipose tissue , and thyroid tissue can be obtained high-resolution OCT images .Dif-ferent tissues and metastatic lymph node can be clearly distinguished .OCT imaging took about 1 minute and fro-zen examination cost about 25 minutes.Conclusions OCT is a time-saving, non-invasive and cross-sectional imaging technique .It can obtain clear structural images of the internal microstructure of bio-tissues.OCT technol-ogy used in thyroid surgery including parathyroid identification and determination of lymph node metastasis is fea -sible.
出处 《中华内分泌外科杂志》 CAS 2014年第4期306-308,共3页 Chinese Journal of Endocrine Surgery
基金 国家自然科学基金资助项目,天津市应用基础与前沿技术研究计划重点项目
关键词 甲状旁腺 光学相干层析成像 淋巴结 Parathyroid Optical coherence tomography Lymph node
  • 相关文献

参考文献8

  • 1Bilezikian JP, Khan A, Potts JT Jr, et al. Hypoparathyroidism in the adult: epidemiology, diagnosis, pathophysiology, target-organ involvement, treatment, and challenges for future research [ J ]. J Bone Miner Res,2011,26 (10) , 2317-2337.
  • 2Kihara M, Yokomise H, Miyauchi A, et al. Recovery of parathy- roid function after total thyroidectomy [ J ]. Surg Today, 2000,30 (4) : 333-338.
  • 3Olson JA, DeBenedetti MK, Baumann DS, et al. Parathyroid auto- transplantation during thyroideetomy. Results of long-term follow- up[J]. Ann Surg,1996,223(5) : 472-480.
  • 4Fercher AF, Drexler W, Hitzenberger CK, et al. Optical coher- ence tomography-principles and applications[ J ]. Rep Prog Phys, 2003,66 : 239-303.
  • 5Mazzaferri EL, Jhiang SM. Long-term impact of initial surgical and medical therapy on papillary and follicular thyroid cancer[ J]. Am J Ned,1994,97(5) : 418-428.
  • 6代文杰,王松.甲状腺外科治疗新进展[J].中华内分泌外科杂志,2013,7(4):327-329. 被引量:1
  • 7高明.甲状腺结节和分化型甲状腺癌诊治指南[J].中国肿瘤临床,2012,29(17):1249-1272. 被引量:738
  • 8鄢丹桂,张彬,安常明,张宗敏,李正江,徐震纲,唐平章.甲状腺乳头状癌临床N0患者颈部淋巴结转移规律[J].中华耳鼻咽喉头颈外科杂志,2011,46(11):887-891. 被引量:27

二级参考文献46

  • 1ZHURui-sen YUYong-li LUHan-kui LUOQuan-yong CHENLi-bo.Clinical study of 312 cases with matastatic differentiated thyroid cancer treated with large doses of ^(131)I[J].Chinese Medical Journal,2005(5):425-428. 被引量:10
  • 2中华耳鼻咽喉头颈外科杂志编委会 中华医学会耳鼻咽喉科学分会.头颈部恶性肿瘤颈淋巴转移的治疗方案和手术命名(2004年大连)[J].中华耳鼻咽喉头颈外科杂志,2005,.
  • 3Mazzaferri EL,Kloos RT.Clinical review 128:Current approaches to primary therapy for papillary and follicular thyroid cancer.J Clin Endocrinol Metab,2001,86:1447-1463.
  • 4Kupferman ME,Patterson M,Mandel SJ,et al.Patterns of lateral neck metastasis in papillary thyroid carcinoma.Arch Otolaryngol Head Neck Surg,2004,130:857-860.
  • 5Machens A,Holzhausen HJ,Dralle H.Skip metastases in thyroid cancer leaping the central lymph node compartment.Arch Surg,2004,139:43-45.
  • 6Chung YS,Kim JY,Bae JS,et al.Lateral lymph node metastasis in papillary thyroid carcinoma:results of therapeutic lymph node dissection.Thyroid,2009,19:241-246.
  • 7Noguchi S,Noguchi A,Murakami N.Papillary carcinoma of the thyroid.I.Developing pattern of metastasis.Cancer,1970,26:1053-1060.
  • 8Arturi F,Russo D,Giuffrida D,et al.Early diagnosis by genetic analysis of differentiated thyroid cancer metastases in small lymph nodes.J Clin Endocrinol Metab,1997,82:1638-1641.
  • 9Hay ID.Papillary thyroid carcinoma.Endocrinol Metab Clin North Am,1990,19:545-576.
  • 10Kowalski LP.Bagietto R,Lara JR,et al.Prognostic significance of the distribution of neck node metastasis from oral carcinoma.Head Neck.2000,22:207-214.

共引文献760

同被引文献10

引证文献2

二级引证文献16

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部