Parathyroid Autologous Transplantation
Conditions
Keywords
parathyroid autografting, thyroidectomy, survival rate, hypoparathyroidism
Brief summary
The functional parathyroid auto-transplantation (PA) could release parathyroid hormone (PTH) into the circulatory system of the body through the capillaries. But when parathyroid glands were auto-grafted in the sternocleidomastoid muscle, it would be inconvenient to detect PTH to examine whether the graft functions. So the investigators took the forearm as the aim place for auto-transplantation, either subcutaneous or brachioradialis, with its relatively fixed - antecubital vein blood test which is simple. The survival criteria is assumed as the PTH gradient of 1.5 times or greater through comparing the bilateral PTH value in grafted and not-grafted forearm.
Interventions
new-site for parathyroid autografting, close to the antecubital vein
traditional-site for parathyroid autografting,not intensively close to the antecubital vein
Sponsors
Study design
Eligibility
Inclusion criteria
* patients with indications for PA treatment during cervical surgery
Exclusion criteria
* patients suffering secondary hypoparathyroidism with forearm fistulization
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| parahthyroid hormone gradient by comparing between grafted and non-grafted forearm | 1 months, 3 months and 6 months | The survival criteria is that the gradient of parathyroid hormone reaches 1.5 time or greater by comparing between grafted and non-grafted forearm |
Secondary
| Measure | Time frame |
|---|---|
| hypoparathyroidism: parathyroid hormone less than 15pg/ml(range from 15 to 65pg/ml) | 6 months |
Countries
China