The value of preoperative localization studies in primary hyperparathyroidism

被引：20

作者：

Prager, G

Czerny, C

Kurtaran, A

Passler, C

Scheuba, C

Niederle, B

机构：

[1] Univ Vienna, Chirurg Klin,Klin Abt Allgemeinchirurg, Arbeitsgrp Chirurg Endokrinol, Stadt Wien,Allgemeines Krankenhaus, A-1090 Vienna, Austria

[2] Univ Vienna, Klin Radiodiagnost, Abt Osteol, Vienna, Austria

[3] Univ Vienna, Klin Nukl Med, Vienna, Austria

来源：

CHIRURG | 1999年 / 70卷 / 10期

关键词：

primary hyperparathyroidism; localization studies; ultrasonography; (99m)SestaMIBI scan; minimal invasive parathyroidectomy;

D O I：

10.1007/s001040050869

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Bilateral neck exploration is the standard procedure in primary hyperparathyroidism. Using a bilateral approach, preoperative localization studies are not mandatory. A localized single gland disease is the basis for a minimally invasive procedure. Therefore preoperative localization techniques play an important role in planning (minimally invasive) first time exploration for primary hyperparathyroidism. The combination of Tc-99m-SestaMIBI scintigraphy with ultrasound allows correct localization of the parathyroid adenoma in 86% of all single gland diseases. Multiple gland disease could be predicted in isolated cases only Computerized tomography and magnetic resonance imaging could not improve the results. Surgery for persistent or recurrent hyperparathyroidism should only be performed after positive localization studies.

引用

页码：1082 / 1088

页数：7

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