中国耳鼻咽喉头颈外科2018，Vol.25Issue(2)：57-60,4.DOI:10.16066/j.1672-7002.2018.02.001
甲状旁腺肿瘤并发甲状腺疾病的诊断及治疗新特点
New features in diagnosis and treatment of parathyroid tumors co-existent with thyroid disease
摘要
Abstract
OBJECTIVE To analyze the new features in diagnosis and treatment of parathyroid tumor co-existent with thyroid disease. METHODS The clinical data of 98 patients with parathyroid tumors from Jan.2007 to Dec.2016, in Zhejiang Cancer Hospital were retrospective analyzed. RESULTS In all 98 cases, there were 22 cases mistaken as thyroid disease before surgery. The misdiagnosis rate was higher(36.2％), when combined with thyroid disease. When co-existent with thyroid disease, the qualitative diagnosis rate of the ultrasound and CT will be decreased, it was easy to misdiagnosis. Logistic regression analysis showed that parathyroid tumor location, hyperparathyroidism, cystic parathyroid tumor affected the accuracy of the qualitative diagnosis of ultrasound. The size of the parathyroid tumor affected the accuracy of the qualitative diagnosis of CT. Three of 9 patients underwent bilateral thyroid cancer and parathyroid tumor resection presented permanent hypoparathyroidism(33％). CONCLUSION When combined with thyroid disease, parathyroid tumor is easy to be misdiagnosed, the qualitative diagnosis rate of the ultrasound and CT will also decreased. When combined with thyroid cancer, these will be a higher risk of hypoparathyroidism after bilateral thyroid cancer and parathyroid tumor resection.关键词
甲状旁腺肿瘤/甲状腺疾病/诊断/外科手术Key words
Parathyroid Neoplasms/Thyroid Diseases/Diagnosis/Surgical Procedures, Operative引用本文复制引用
赵佳正,郭良,楼建林..甲状旁腺肿瘤并发甲状腺疾病的诊断及治疗新特点[J].中国耳鼻咽喉头颈外科,2018,25(2):57-60,4.基金项目
浙江省医药卫生重大科技计划省部共建重点项目(WKJ-ZJ-1712) （WKJ-ZJ-1712）
