纳米碳在甲状腺手术中保护甲状旁腺的应用  

作　　者：李志安[1] 阮国栋[1] 戴江锋[1] 

机构地区：[1]浙江省绍兴第二医院,312000

出　　处：《浙江临床医学》2013年第8期1140-1141,共2页Zhejiang Clinical Medical Journal

摘　　要：目的探讨纳米碳在甲状腺手术中对甲状旁腺的保护作用。方法甲状腺手术时，游离部分甲状腺外科包膜后注射纳米碳各0.1~0.2ml于甲状腺上下极，待甲状腺和周围淋巴组织染色后完整游离甲状腺外科包膜，保护未染色组织（可能含有甲状旁腺组织），再常规行甲状腺手术。结果低血钙观察组发生4例，对照组发生10例，差异有统计学意义（P〈0.05）；甲状旁腺素下降观察组发生2例，对照组发生9例，差异有统计学意义（P〈0.05）；病理证实误切甲状旁腺观察组0例，对照组6例；患者自诉出现低血钙症状观察组5例，对照组11例，差异无统计学意义（P〉0.05）。结论在甲状腺手术中使用纳米碳，可以避免甲状旁腺受损。Objective To discuss the role of nano-carbon in the protection of parathyroid during thyroid surgery. Methold Injecting 0.1-0.2ml of nano-carbon in the thyroid of the upper and lower pole after dissociating part of the thyroid capsule during a thyroid surgery.Dissociating the whole thyroid capsule when the thyroid gland and surrounding lymph tissue are stained,then continue finishing the thyroid surgery. The purpose is to protect the non-stained tissue,which may contain parathyroid tissue. Result Using nano-carbon during the thyroid surgery can reduce the damage to parathyroid. Conclusions Using nano-carbon can protect the parathyroid function in thyroid surgery.

关 键 词：纳米碳 甲状腺手术 甲状旁腺 

分 类 号：R322.52[医药卫生—人体解剖和组织胚胎学]