Improvement and introduction of innovative methods of surgical treatment of primary hyperparathyroidism

Autor: I.V. Deineko, S.P. Merenkova, V.A. Kravchenko, D.A. Ulko
Jazyk: English<br />Ukrainian
Rok vydání: 2019
Předmět:
Zdroj: Acta Medica Leopoliensia, Vol 25, Iss 1, Pp 56-60 (2019)
Druh dokumentu: article
ISSN: 1029-4244
2415-3303
DOI: 10.25040/aml2019.01.056
Popis: Aim. Evaluation of the results of surgical treatment of patients with primary hyperparathyroidism. Material and Methods.Overthe period of2000 to 2019, 180 patients with pancreatic tumors were operated. Among them, there were 30 (16.67%) men and 150 (83.33%) women. The age of patients ranged from 20 to 72 years. All patients were tested for parathyroid hormone, vitamin D3, and ionized blood calcium. Among the instrumental methods, an ultrasound of the thyroid and parathyroidglands was performed prior to surgery and intraoperatively. In case of disturbances of hormonal indices without signs of organic pathology, ultrasound scintigraphy was performed on patients with Tc99 MIBI. Results and Discussion. According to the ultrasound scan results, 95.55% of patients had adenoma of the parathyroidgland, 1.67% - 2 and more adenomas, and 2.78% - hyperplasia of the glands. In 177 patients (98.3%), there was a steady decline in parathyroid hormone and ionized calcium levels within 1to 3 days after surgical intervention and during one-month follow-up (p
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