1989年6月～1998年3月,我院外科收治原發(fā)性甲狀旁腺功能亢進(jìn)癥11例。術(shù)前根據(jù)臨床表現(xiàn)、實(shí)驗(yàn)室檢查以及經(jīng)B超、CT、彩色多普勒超聲波及99mTcMIBI檢查獲定性定位診斷者9例。11例均行手術(shù)治療,手術(shù)成功10例。病理檢查結(jié)果:甲狀旁腺腺瘤10例,正常甲狀旁腺1例。作者認(rèn)為:①應(yīng)提高對本病的認(rèn)識以利早期診斷,術(shù)前聯(lián)合應(yīng)用無創(chuàng)性影像學(xué)檢測手段以準(zhǔn)確定位;②術(shù)者應(yīng)熟悉局部解剖,尤其對異位甲狀旁腺的充分認(rèn)識,要有清晰的探查思路和高超的操作技巧,并結(jié)合術(shù)中常規(guī)冰凍切片檢查以提高手術(shù)成功率;③術(shù)后加強(qiáng)內(nèi)科治療及隨訪,以全面提高甲狀旁腺功能亢進(jìn)癥的診治水平。
引用本文： 朱精強(qiáng),劉嘉林,李霞,王龍. 原發(fā)性甲狀旁腺功能亢進(jìn)癥的診斷與治療(附11例報(bào)告). 中國普外基礎(chǔ)與臨床雜志, 1998, 5(5): 277-279. doi: 復(fù)制
| 1. | 沈正榮,彭淑牖.甲狀旁腺腫瘤的外科處理(附15例報(bào)告).中國實(shí)用外科雜志,1997;17(2)∶83. |
| 2. | 蔡偉耀,曹德生,顧竹金.原發(fā)性甲狀旁腺功能亢進(jìn)癥64例外科治療的經(jīng)驗(yàn).中華內(nèi)分泌代謝雜志,1991;7(3)∶147. |
| 3. | EricDW,JeffreyA,Norton.Endocrimesurgicaldiseaseofelderlypatients.SurgicalClinicsofNorthAmerica,1994;74(1)∶131. |
| 4. | ziakouriCE,SkannavisS.Valueofultrasonography,CTandMIRimaginginthediagnosisofprimaryhyperparathyroidism.ActaRadiol,1996;37(5)∶720. |
| 5. | 高 碩,周蔭保,徐家驊.原發(fā)性甲狀旁腺功能亢進(jìn)的核素定位診斷.中華內(nèi)分泌代謝雜志,1996;12(2)∶93. |
| 6. | RyanJA,EisenberyB,PadoKM,etal.Efficacyofselecticeunilateralerplorationinhyperparathyroidismfasedonlocaliyationtests.ArchSary,1997;132(8)∶886. |
| 7. | McintyreRCJr,EisenachJH,PearlmanNW,etal.Intrathyroidalparathyroidglandscanbeacauseoffailedcervicalexplorationforhyperparathroidism.AmJSurg,1997;176(6)∶750. |
| 8. | BrotsierAR,NussbaumSR.Hungrybonesyndrome:chinicalandbiochemicalpredictorsofitsoueccrrenceofterparathyroidsurgery.AmJMed,1988;84(4)∶654. |
- 1. 沈正榮,彭淑牖.甲狀旁腺腫瘤的外科處理(附15例報(bào)告).中國實(shí)用外科雜志,1997;17(2)∶83.
- 2. 蔡偉耀,曹德生,顧竹金.原發(fā)性甲狀旁腺功能亢進(jìn)癥64例外科治療的經(jīng)驗(yàn).中華內(nèi)分泌代謝雜志,1991;7(3)∶147.
- 3. EricDW,JeffreyA,Norton.Endocrimesurgicaldiseaseofelderlypatients.SurgicalClinicsofNorthAmerica,1994;74(1)∶131.
- 4. ziakouriCE,SkannavisS.Valueofultrasonography,CTandMIRimaginginthediagnosisofprimaryhyperparathyroidism.ActaRadiol,1996;37(5)∶720.
- 5. 高 碩,周蔭保,徐家驊.原發(fā)性甲狀旁腺功能亢進(jìn)的核素定位診斷.中華內(nèi)分泌代謝雜志,1996;12(2)∶93.
- 6. RyanJA,EisenberyB,PadoKM,etal.Efficacyofselecticeunilateralerplorationinhyperparathyroidismfasedonlocaliyationtests.ArchSary,1997;132(8)∶886.
- 7. McintyreRCJr,EisenachJH,PearlmanNW,etal.Intrathyroidalparathyroidglandscanbeacauseoffailedcervicalexplorationforhyperparathroidism.AmJSurg,1997;176(6)∶750.
- 8. BrotsierAR,NussbaumSR.Hungrybonesyndrome:chinicalandbiochemicalpredictorsofitsoueccrrenceofterparathyroidsurgery.AmJMed,1988;84(4)∶654.