Research progress of parathyroid recognition technology in thyroid surgery

doi:10.3877/cma.j.issn.1674-0793.2020.01.021

Abstract

Abstract:

There is a high proportion of parathyroid injuries or miscuts in thyroid surgery. How to preserve the parathyroid glands and their blood supply in situ is one of the difficulties in thyroid surgery. Real-time identification of the parathyroid glands is the basis for the protection of parathyroid glands. Although the commonly used carbon nanoparticles technology and the fine needle puncture parathyroid hormone assay are helpful to the identification of parathyroid glands to a certain extent, there are still great defects. In recent years, the translational medicine research on the transformation of parathyroid gland recognition has made great progress, mainly focusing on near-infrared light detection of parathyroid autofluorescence, near-infrared light detection of indocyanine green enhanced fluorescence and optical coherence tomography imaging optical slicing technology. The study finds that autofluorescence of the parathyroid glands can help detect the parathyroid glands. The enhanced fluorescence of indocyanine green can help detect the parathyroid glands and determine whether the blood supply of parathyroid glands is damaged. Optical coherence tomography can distinguish between the parathyroid glands and surrounding tissues. Progress in parathyroid recognition technology will help protect the parathyroid glands during thyroid surgery and reduce parathyroid damage.

Key words: Parathyroid glands, Fluorophotometry, Near infrared imaging, Tomography, optical coherence

Chaojie Wu, Gaoang Qiao, Dongzhu Da, Jun Liu. Research progress of parathyroid recognition technology in thyroid surgery[J]. Chinese Archives of General Surgery(Electronic Edition), 2020, 14(01): 68-71.

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