外科理论与实践2026，Vol.31Issue(1)：88-94,7.DOI:10.16139/j.1007-9610.2026.01.15
手术治疗继发性甲状旁腺功能亢进症多学科诊疗的争议与协作
Controversy and collaboration of multi-disciplinary team in surgical treatment of secondary hyperparathyroidism
潘佳豪 1林森 1杨澎 2王强 1崔新华 2张伟1
作者信息
- 1. 上海长征医院甲乳疝外科,上海 200003
- 2. 浙江省荣军医院普外科,浙江 嘉兴 314051
- 折叠
摘要
Abstract
The multi-disciplinary team(MDT)care centered on parathyroidectomy(PTX)has gradually become the main treatment model for secondary hyperparathyroidism(SHPT).However,different departments such as surgery,nephrology,laboratory medicine,radiology,and endocrinology have varying understandings and treatment strategies for SHPT.This article,from a surgical perspective,reviewed the controversies and collaborations in MDT during the diagnosis and treatment of SHPT,including disputes with nephrology over the timing of surgery and treatment goals,collaboration with radiology for preoperative localization,collaboration with laboratory medicine for intraoperative monitoring of parathyroid hormone,collaboration with intensive care units,endocrinology,and cardiology in the management of complications such as electrolyte disorders,bone hunger syndrome,and cardiovascular events during the perioperative period,as well as disputes with the metabolic department regarding the evaluation of postoperative bone metabolism changes.This provided a reference for the clinical promotion of MDT diagnosis and treatment of SHPT.关键词
继发性甲状旁腺功能亢进症/甲状旁腺切除术/甲状旁腺激素/多学科诊疗Key words
Secondary hyperparathyroidism(SHPT)/Parathyroidectomy(PTX)/Parathyroid hormone(PTH)/Multi-disciplinary team(MDT)分类
医药卫生引用本文复制引用
潘佳豪,林森,杨澎,王强,崔新华,张伟..手术治疗继发性甲状旁腺功能亢进症多学科诊疗的争议与协作[J].外科理论与实践,2026,31(1):88-94,7.
