吲哚菁绿甲状旁腺荧光成像在甲状腺手术中的应用与研究进展

doi:10.16139/j.1007-9610.2025.01.16

摘要/Abstract

摘要：

近年来，吲哚菁绿（ICG）荧光成像引入甲状腺手术中，在识别和保留甲状旁腺方面起了关键作用。本文深入探讨ICG荧光成像技术在甲状腺手术针对甲状旁腺定位与功能评估的应用及其研究进展。介绍ICG的理化特性及其在医学领域的应用历史，强调ICG荧光成像技术的安全性和有效性。详细讨论ICG荧光成像在甲状腺手术中的具体应用，包括其在传统开放甲状腺手术、腔镜甲状腺手术以及机器人辅助甲状腺手术中的作用。讨论ICG使用剂量、荧光评分方法以及如何通过定量分析提高诊断准确性。

关键词: 甲状腺, 甲状旁腺, 吲哚菁绿, 低钙血症

Abstract:

Recent advancements have integrated indocyanine green (ICG) fluorescence imaging in thyroid surgeries, significantly enhancing the identification and preservation of parathyroid glands. This article reviewed the advancements and applications of ICG fluorescence imaging in locating and assessing the functionality of parathyroid glands in thyroid surgery, outlined the physicochemical characteristics of ICG and its historical utilization in medicine, introduced ICG fluorescence imaging in thyroid surgery, including traditional open thyroid surgery, endoscopic thyroid surgery, and robot-assisted thyroid surgery, and discussed the dosage of ICG, the methodologies for fluorescence scoring, and the enhancement of diagnostic precision through quantitative analysis.

Key words: Thyroid gland, Parathyroid gland, Indocyanine green (ICG), Hypocalcemia

中图分类号:

R653

曾耀星, 丁敏, 费健. 吲哚菁绿甲状旁腺荧光成像在甲状腺手术中的应用与研究进展[J]. 外科理论与实践, 2025, 30(01): 84-87.

TSANG YiuSing, DING Min, FEI Jian. Application and research progress of indocyanine green fluorescence imaging of parathyroid in thyroid surgery[J]. Journal of Surgery Concepts & Practice, 2025, 30(01): 84-87.

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