Application of Carbon Nano Negative Parathyroid Imaging in Thyroid Cancer Surgery

Zhang Hong; Fang Xing Bao; Xu Bin Yong; Wang Zhao Xiong; Ge Jia Yun

Volume 38 Issue 11

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Zhang Hong , Fang Xing Bao , Xu Bin Yong , Wang Zhao Xiong , Ge Jia Yun . Application of Carbon Nano Negative Parathyroid Imaging in Thyroid Cancer Surgery[J]. Journal of Kunming Medical University, 2017, 38(11): 58-61.

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Zhang Hong , Fang Xing Bao , Xu Bin Yong , Wang Zhao Xiong , Ge Jia Yun . Application of Carbon Nano Negative Parathyroid Imaging in Thyroid Cancer Surgery[J]. Journal of Kunming Medical University, 2017, 38(11): 58-61.

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Application of Carbon Nano Negative Parathyroid Imaging in Thyroid Cancer Surgery

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基金：国家自然科学基金资助项目 (81061434);

Received Date: 2017-03-13

Abstract

Abstract

Objective To explore the application of carbon nano negative parathyroid imaging in radical operation of thyroid carcinoma.Methods 130 cases of thyroid cancer were randomly divided into experimental group and control group, each group had 65 cases, The experimental group was injected with nano carbon suspension to clean the ipsilateral VI lymph nodes according to the range of black stained lymph nodes, patients in control group were treated with VI lymph node dissection.Of the two groups of total lymph nodes, the number of lymph node metastasis, inadvertent parathyroidectomy, a transient hypocalcemia and permanent hypocalcemia cases, lymph node metastasis rate and thyroid resection rate were analyzed.Result In the experimental group, 406 lymph nodes were dissected, and the control group was given a total of 267 lymph nodes.The number of lymph node metastasis in the experimental group was 106, while the control group was 63, the difference between the two groups was statistically significant (P<0.01) .The lymph node metastasis rate of the experimental group and the control group were 26.11% and 23.61%, respectively.There was no significant difference between the two groups (P>0.05) .The experimental group did not find the parathyroid gland, transient hypocalcemia in 2 cases, no permanent hypocalcemia, find the parathyroid tissue after surgery in the control group of 4 cases, 12 cases of transient hypocalcemia, 4 cases of permanent hypocalcemia, differences between the two groups had statistical significance (P<0.05) .The experimental group and the control group were 0% and 1.08%, respectively, the difference between the two groups was statistically significant (P<0.05) .Conclusion Nano carbon in the radical operation of thyroid cancer can make the VI region lymph node is very good imaging, but the parathyroid is negative imaging, It is helpful for the dissection of lymph nodes, avoiding the wrong cutting of parathyroid gland, and improving the accuracy and safety of operation.
- Nano carbon particle,
- Parathyroid,
- Thyroid carcinoma,
- Lymph node

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