Abstract:

The appliance value of the radionuclide in the diagnosis and treatment of primary hyperparathyroidism. Huang Xiangcheng,Ba Mingchen,Qing Sanhua,et al.Department of General Surgery,Nanfang Hospital,Nanfang Medical University,Guangzhou 510515,China Abstract Objective To investigate the appliance value of the radionuclide in the diagnosis and treatment of primary hyperparathyroidism. Methods Seven patients with primary hyperparathyroidism were made radionuclide delay image by 99mTcsestemibi.Two of them were used99mTcsestemibi as mark to discriminate the parathyroidoma during the operation,frozen section pathological examination was used to determine the diagnosis post parathyroidoma excision. Results Eight leision tissues were found in these patients,6 cases of them were parathyroidoma,and 1 case was parathyroidoma company with parathyroid hyperplasia,2 patients with parathyroidoma were found the leision bite by way of 99mTcsestemibi as mark during operation.Parapthyroma was proved by pathological examination of frozen section.All patients got a better prognosis,no complication had been found all of them.Follow up from 1 year to 5 years,the clinic symptom of hyperparathyroidism had no recurrence in these patients of this group,and satisfying effect had been acquired. Conclusion Parathyroid delay image of 99m Tcsestemibi could make the location of primary parathyroidma so as to determine the place of parathyroidma during operation. 99m Tcsestemibi assistance discriminate the parathyoidoma could make the operative administration easy,short the operative time,avoid the unnecessary operative wound and post operative complication.