中国中西医结合外科杂志2011，Vol.17Issue(2)：162-164,3.DOI:10.3969/j.issn.1007-6948.2011.02.014
原发性甲状旁腺功能亢进症66例分析
Analysis of 66 Cases of Hyperparathyroidism
胡博 1何向辉 1朱理玮1
作者信息
- 1. 天津医科大学总医院普通外科,天津,300052
- 折叠
摘要
Abstract
Objective To explore the diagnosis and surgical treatment of hyperparathyroidism and hyperparathyroid crisis. Methods Tumorectomy was performed on 59 cases of parathyroid adenoma and 4 cases of parathyroid hyperplasia. In surgical treatment of 3 cases of parathyroid carcinoma, a concurrent resection of homolateral thyroid gland lobectomy and isthemectomy as well as removal of peripheral soft tissues was completed.Results All of the 66 cases were cured. There was no permanent hypoparathyroidism nor recurrent nerve injury and other complication. The patients with parathyroid crisis could be dealed with quickly fluid perfusion, diuresis, dropping calcium and operation. Conclusion Serum calcium and parathyroid hormone (PTH) assays are the methods of preliminary diagnosis. Doppler ultrasound and 99mTc-MIBI are location diagnosis examination methods. Parathyroidectomy is an effective approach to moat patients. According to intraoperative frozen section pathology and the rapid PTH determination, precise diagnosis could be made. The serum calcium level could recover to normal after the operation.关键词
原发性甲状旁腺功能亢进症/甲状旁腺危象/诊断/外科治疗分类
医药卫生引用本文复制引用
胡博,何向辉,朱理玮..原发性甲状旁腺功能亢进症66例分析[J].中国中西医结合外科杂志,2011,17(2):162-164,3.
