Resultados funcionais do auto-implante de paratireóides em loja única no tratamento do hiperparatireoidismo secundário
| Autor: | Sérgio Samir Arap, Lenine Garcia Brandão, Fábio Luiz de Menezes Montenegro, Stênio Roberto Castro Lima Santos, Climerio Pereira do Nascimento, Caio Tosato Caliseo |
|---|---|
| Jazyk: | angličtina |
| Předmět: |
Parathyroidectomy
Hiperparatireoidismo secundário medicine.medical_specialty business.industry medicine.medical_treatment Paratireoidectomia lcsh:Surgery lcsh:RD1-811 medicine.disease Tertiary hyperparathyroidism Transplantation Autologous Group B Parathyroid autotransplantation Surgery Transplante Autólogo Medicine Operative time Functional status Secondary hyperparathyroidism Hyperparathyroidism Secondary Implant business GLANDULAS PARATIREOIDES |
| Zdroj: | Revista do Colégio Brasileiro de Cirurgiões, Vol 38, Iss 2, Pp 85-89 Repositório Institucional da USP (Biblioteca Digital da Produção Intelectual) Universidade de São Paulo (USP) instacron:USP Revista do Colégio Brasileiro de Cirurgiões v.38 n.2 2011 Revista do Colégio Brasileiro de Cirurgiões Colégio Brasileiro de Cirurgiões (CBC) instacron:CBC |
| ISSN: | 1809-4546 |
| Popis: | OBJECTIVE: To evaluate the operation and surgical time of autotransplanted parathyroid in a single site comparing it to the implant performed in five and twenty locations. METHODS: Patients who underwent total parotidectomy with auto implant (Ptx-AI) for secondary and tertiary hyperparathyroidism were evaluated in groups of 20 implant sites (A), 5 sites (B) and single site (C), compared as for Functional Status (FE) of the implant and the surgical time of the procedure. Four functional states were determined according to the systemic level of PTH: 1-below normal, 2-normal, 3-high, no more than three times and 4 - more than three times higher. RESULTS: There were 349 patients subjected to Ptx-AI for renal hyperparathyroidism from 1994 to 2009. For the functional study, 101 patients were eligible for the following observations: group A (n = 30) - 16.6% EF1, 50% EF2, 23.3% EF3 and 10%EF4; group B (n = 41) - 14.6% EF1, 58.5% EF2, 22% EF3 and 4.9% EF4; Group C (n = 30) - 17% EF1, 57% EF2, 20%EF3 and 6% EF4 (p = 0.9, x2). But in group C the mean operative time of implant was statistically lower (7.9 minutes) compared to the average of 5 site (18.6 minutes) and 20-site (44 minutes) implants in 66 evaluated patients (p |
| Databáze: | OpenAIRE |
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