术中甲状旁腺辨识方法的研究进展

A review of intraoperative identification methods of parathyroid glands

甲状旁腺功能减退是甲状腺手术的重要并发症，术中保护主要靠辨识，目前主要依赖术者的个人经验，内镜、手术放大镜放大显示，纳米碳、亚甲蓝、5-氨基乙酰丙酸、抗甲状旁腺抗体BB5-G1等染料使用，核素标记，接触式内镜，冰冻活检、穿刺检查等都是近年来的重要方法，本文就这些研究进行了整理。

Hyperparathyroidism is an important complication of thyroid surgery. Identification is the premise of intraoperative pretection. At present, identification of the parathyroid gland relies on personal experience of surgeons. Amplifying display of endoscope or surgical magnifying glass, the use of dyeing agent such as methylene blue, nanoearbon, 5-ALA or BB5-G1, the use of radionuclide imaging and contact endoscope, and biopsy like intraoperative frozen pathological examination and FNA are all important trials. This article is going to make a review of the methods.