Estadísticas

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  "cita" => "Cir Esp. 1998;64:307-10"
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      "titulo" => "Las relaparotomías efectuadas a través de prótesis de polipropileno no alteran su resistencia biomecánica. Estudio experimental"
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          "titulo" => "REPEAT LAPAROTOMIES INVOLVING PROSTHESES MADE OF POLYPROPYLENE DO NOT ALTER THEIR BIOMECHANICAL RESISTANCE: EXPERIMENTAL STUDY"
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      "titulo" => "Gammagrafía paratiroidea con 99mTc tetrofosmina en el diagnóstico de localización del hiperparatiroidismo"
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          "titulo" => "PARATHYROID SCINTIGRAPHY WITH 99mTc-TETROFOSMIN IN THE DIAGNOSIS AND LOCALIZATION OF HYPERPARATHYROIDISM"
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          "autoresLista" => "E Martín Pérez, E Larrañaga, L Domínguez, M Marazuela, PA Serrano"
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    "titulo" => "Utilidad de la gammagrafía con Sestamibi y la determinación de hormona paratiroidea intacta como técnicas de localización de tejido paratiroideo hiperfuncionante"
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        "autoresLista" => "A Piñero Madrona, JM Rodríguez González, T Fuente Jiménez, F Nicolás Ruiz, J Riquelme Riquelme, T Soria Cogollos, P Parrilla Paricio"
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        "titulo" => "UTILITY OF SESTAMIBI SCINTIGRAPHY AND THE DETERMINATION OF iPTH IN THE LOCALIZATION OF HYPERFUNCTIONING PARATHYROID TISSUE"
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            0 => "Primary hyperparathyroidism"
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        "resumen" => "<span class="elsevierStyleBold">Objective&#46;</span> To assess the utility of 99mTc-sestamibi and the determination of intact parathyroid hormone &#40;iPTH&#41; as techniques for locating abnormal glands in patients with primary hyperparathyroidism &#40;HPT&#41; and to test the utility of the determination of iPTH to confirm the resection of all hyperfunctioning tissue&#46; <br/> <span class="elsevierStyleBold">Patients and methods&#46;</span> Eleven patients with a postoperative diagnosis of primary HPT due to parathyroid adenoma were studied&#46; All the patients had undergone preoperative 99mTc-sestamibi scintigraphy and the determination of iPTH in both jugular veins for the purpose of locating the abnormal side&#46; Preoperative and postoperative &#40;15 minutes after resection&#41; iPTH levels were also measured in the attempt to confirm the complete resection of hyperfunctioning tissue&#46; <br/> <span class="elsevierStyleBold">Results&#46;</span> 99mTc-sestamibi scintigraphy showed a sensitivity of 91&#46;6&#37; and a specificity of 100&#37;&#46; Venous iPTH determination correctly identified the diseased side in 45&#46;4&#37; of cases&#44; and the resection of all hyperfunctioning tissue was confirmed in 10 of the 11 patients &#40;90&#46;9&#37;&#41;&#46; <br/> <span class="elsevierStyleBold">Conclusions&#46;</span>&#46; Preoperative 99mTc-sestamibi scintigraphy is a reliable test for the localization of abnormal parathyroid glands&#44; in contrast to the intraoperative determination of iPTH&#46; The comparison of the preoperative iPTH level with that obtained 15 minutes postresection is a good indicator of the effectiveness of the procedure&#46;"
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