原发性甲状旁腺功能亢进症围手术期处理(附11例报告)  

THE PERIOPERATIVE MANAGEMENT OF PRIMARY HYPERPARATHYROIDISM (REPORT OF 11 CASES)

作　　者：刘嘉林[1] 朱精强[1] 李宁[1] 张明仪[1] 

机构地区：[1]华西医科大学附属第一医院普外科

出　　处：《中国普外基础与临床杂志》1999年第2期98-100,共3页Chinese Journal of Bases and Clinics In General Surgery

摘　　要：原发性甲状旁腺功能亢进症（简称甲旁亢）多由甲状旁腺腺瘤引起，可因甲状旁腺解剖变异而导致术前定位诊断困难，最终手术失败。我科１９８９年６月至１９９８年３月９年间共收治１１例甲旁亢患者，均行手术治疗，其中手术成功１０例。术后病理检查结果：甲状旁腺腺瘤１０例，正常甲状旁腺１例。笔者认为，术前成功的定位诊断、手术者具备丰富的异位甲状旁腺知识和术中系统探查、探查技巧以及术后积极而系统的内科治疗是围手术期处理的关键；加强术后随访。Vague preoperative localization and ectopic parathyroid often lead to the failure of operation in primary hyperparathyroidism. From Jun 1989 to March 1998, 11 cases of primary hyperparathyroidism had been treated surgically in the general surgery department of our hospital. Of them, 10 cases were operated successfully with the pathological diagnosis of adenoma and one parathyroid removed was reported normal. Preoperative localization, the knowledge of ectopic parathyroids, careful exploration during operation and the postoperative medical treatment are important for the perioperative management. Postoperative follow up has emphasized to benefit the treatment in primary hyperparathyroidism.

关 键 词：围手术期 甲旁亢 处理 

分 类 号：R653.05[医药卫生—外科学] R582.1[医药卫生—临床医学]