INTRAOPERATIVE MONITORING OF THE PARATGORMON LEVEL AT SURGICAL TREAT- MENT OF PATIENTS WITH THE COMBINATION OF PRIMARY HYPERPARATHYROIDISM AND BENING NODULAR GOITER
Results of the intraoperative monitoring of an intact parathyroid hormone at patients with a combination of primary hyperparathyroidism and benign nodular goiter were studied. The research has included 10 patients, from them - 8 women and two men, middle age: 58,3 ± 2,3 years. Level of the parathyroid hormone was registered in the blood which is taken away from an internal jugular vein by her catheterization by the modified method, before removal of a parathyreoadenoma, and also in 5 and 10 minutes after her removal. The immunohemiluminiscention method of definition of a parathormon by two trailer fragments of a molecule on the ELECSYS 2010 analyzer was applied. It has been established that at all patients in 5 minutes after a parathyroidectomy the level of a parathyroid hormone decreased more than by 50% in comparison with preoperativ values of this indicator. Results of a research confirm expediency of carrying out intraoperative monitoring of a parathyroid hormone for a timely assessment of radicalism of the parathyroidectomy, allow to reduce operation duration, and also to minimize operativ volume by the thyroid gland.