骨型甲状旁腺功能亢进症临床分析  

CLINICAL ANALYSIS OF PRIMARY HYPERPARATHYROIDISMCHARACTERIZED BY BONE CHANGE

作　　者：夏福容[1] 张自琴[1] 刘彦复[1] 

机构地区：[1]北京积水潭医院外科

出　　处：《中国普通外科杂志》1995年第3期145-146,共2页China Journal of General Surgery

摘　　要：１９９３年１月～９月，我科收治经手术病理证实的骨型甲状旁腺功能亢进症患者６例，其临床特点为起病缓慢，均有多发固定部位骨痛，ｘ线检查呈全身骨质疏松，多发性溶骨性改变，同时血清钙和血清碱性磷酸酶升高，甲状旁腺激素升高更有意义。本组４例被误诊为骨肿瘤，骨关节病误行骨科手术。作者认为临床医师如能提高对本病的认识和鉴别诊断的知识，不仅可以早期发现、早期治疗。且可避免误诊、误治。cases of primary hyperparathyroidism characterized by bone disease treat-ed from Jan. 1993 to Sep. 1993 were retrospectively reviewed. Diagnosis wasproved by operation and pathology. The clinical characteristics were as follows :Chronic course, ostealgia in different positions, osteoporosis and osteolyticchange. Seum Levels of calcium and AKP and PTH were elevated. Elevation ofPTH concentration was most diagnostic. All patients were treated with drugover 1. 5 year before admission. Four of six cases were misdiagnosed as bone tu-mour and other bone diseases. Parathyroid adenectomy were carried out in allcases. Symptoms improved obviously after operation.

关 键 词：功能亢进 甲状旁腺 临床分析 甲旁亢 

分 类 号：R582.1[医药卫生—内分泌]