The Application of Rapid PTH Test Paper in Operation of Hyperparathyroidism
The Application of Rapid PTH Test Paper in Operation of Hyperparathyroidism
The half-life of the parathyroid hormone is about 4min, blood pth test is use in operation to
 confirm that parathyroid tumor is removed. but the blood pth test is time consuming and
 unpractical in most of hospital. this study will compare the application of rapid PTH test
 paper in operation of hyperparathyroidism.PTH test were measured in operation in different
 way. it will test at the time of preoperation, 15 minutes after surgery, 1 hour after surgery
 and 24 hours after surgery. thus evaluate the reliability and accuracy of PTH test paper in
 evaluating the Miami principles with the linear relation of blood PTH and the PTH test paper
 method.
Primary hyperparathyroidism is a clinically common disease. At present, the gold standard for
 determining whether the operation is successful is based on the Miami principle. That means
 The PTH hormone decreased to 30% of the baseline level after 15min after the tumor was
 removed. However, due to the differences in PTH monitoring conditions in various hospitals,
 many hospitals cannot perform rapid PTH monitoring in the operation. Therefore many doctors
 choose rapid freezing pathology to confirm the lesion., This also led to the inability to
 evaluate PTH in the presence of multiple lesions,and resulting in the need for reoperations.
Inclusion Criteria:

 -  Primary hyperthyroidism.

 -  Secondary hyperthyroidism

 -  Unilateral thyroidectomy.

 -  Total thyroidectomy and bilateral central compartment dissection

 Exclusion Criteria:

 -  age Older than 70 or younger than 18.