术中甲状旁腺显影技术的研究进展

Research Progress of Intraoperative Fluorescence Imaging of Parathyroid Gland

随着健康体检与癌症筛查的普及,甲状腺肿瘤的早期检出率逐渐增加。甲状腺肿瘤的治疗通常以手术切除为主,而甲状腺腺体后方的甲状旁腺对机体钙调节和维持内环境平衡至关重要,术中对于甲状旁腺的保护是避免术后发生甲状旁腺功能减退的关键步骤,故甲状腺术中对甲状旁腺的精准识别尤为重要。目前,甲状旁腺的识别在很大程度上依赖手术医生的临床经验和技巧,术中准确而快速识别甲状旁腺的技术可为临床提供重要的辅助治疗手段。最近几年,荧光图像引导手术,得到了广泛的研究,并越来越受欢迎。为此,本文将对术中甲状旁腺荧光显影技术及其最新的研究进展进行简单的如下综述。

With the popularity of physical examination and cancer screening,the early detection rate of thyroid tumors is gradually increasing.Surgical resection is usually the main treatment of thyroid tumors,and the parathyroid gland behind the thyroid gland is very important to regulate calcium and maintain the balance of the internal environment.The protection of parathyroid gland during operation is the key step to avoid hypoparathyroidism after operation,so the accurate identification of parathyroid gland during thyroid surgery is particularly important.At present,the recognition of parathyroid largely depends on the clinical experience and skills of surgeons.The technique of accurate and rapid recognition of parathyroid can provide important reference value for clinical practice.In recent years,fluorescence image-guided surgery has been widely studied and become more and more popular.For this reason,this article will briefly review the intraoperative fluorescence imaging of parathyroid gland and its latest research progress.