FEDERALNOE GOSUDARSTVENNOE UCHREZHDENIE "MOSKOVSKIJ NAUCHNO-ISSLEDOVATELSKIJ ONKOLOGICHESKIJ INSTITUT IM. P.A. GERTSENA" MINISTERSTVA ZDRAVOOKHRANENIJA I SOTSIALNOGO RAZVITIJA RF (FGU "MNIOI IM. P.A.
发明人:
CHISSOV VALERIJ IVANOVICH,Чиссов Валерий Иванович (RU),RESHETOV IGOR VLADIMIROVICH,Решетов Игорь Владимирович (RU),GOLUBTSOV ANDREJ KONSTANTINOVICH,Голубцов Андрей Константинович (RU),FILONENKO ELENA
申请号：
RU2010150261/14
公开号：
RU0002457795C2
申请日:
2010.12.08
申请国别(地区):
RU
年份:
2012
代理人:
摘要：
FIELD: medicine.SUBSTANCE: invention relates to field of medicine, namely to surgery, oncology, and can be applied in autotransplantation of parathyroid glands. At the first stage 2-3 hours before operation alasens is introduced perorally in dose 20-30 mg/kg of body weight. At the second stage access to thyroid gland and visualisation of parathyroid glands are realised due to accumulated in them alasens. At the third stage thin-needle biopsy and urgent cytochemical test are performed in order to confirm that it was tissue of parathyroid glands that was identified. At the fourth stage autotransplant, which containsentire visualised by means of alasens parathyroid gland, part of thyroid gland capsule, upper or lower thyroid artery and upper or lower thyroid vein, is formed. Formed autotransplant is transferred into axillary fossa, where preliminarily by 5 cm long cut of skin and separation of subcutaneous-fatty cellular tissue access of thoracodorsal artery and vein is realised. Anastomosis of end-to-end or end-to-side type between upper or lower thyroid artery and suitable in size branch of thoracodorsal artery is formed. The same principle is used in anastomosis of upper or lower thyroid vein with suitable in size branch of thoracodorsal vein. Run of blood flow is started. Operation wounds are sutured.EFFECT: application of claimed invention makes it possible to realise transplant engraftment and ensure its functioning in the same volume as before removal.1 exИзобретение относится к области медицины, а именно к хирургии, онкологии, и может найти применение при аутотрансплантации паращитовидных желез. На первом этапе за 2-3 часа до операции перорально вводят аласенс в количестве 20-30 мг/кг массы тела. На втором этапе осуществляют доступ к щитовидной железе и визуализацию паращитовидных желез за счет накопленного в них аласенса. На третьем этапе производят тонкоигольную биопсию и срочное цитохимическое исследование для подтверждения обнаружения ткани именно паращитов
