重视原发性甲状旁腺功能亢进的诊断和治疗  

Attention to the diagnosis and treatment of primary hyperparathyroidism

作　　者：廖泉[1] 赵玉沛[1] 

机构地区：[1]中国医学科学院北京协和医院基本外科,北京100730

出　　处：《中国实用外科杂志》2014年第4期289-291,共3页Chinese Journal of Practical Surgery

摘　　要：原发性甲状旁腺功能亢进(PHPT)是引起高钙血症的最常见原因,可引起骨质疏松,肾结石,胃肠道、心血管及神经精神症状等。然而,PHPT的临床模式正在改变,在西方国家约80%的病人为轻度或无症状型PHPT。PHPT的诊断和定位主要依靠临床表现、实验室及影像学检查。对于有症状的PHPT病人治疗应首选甲状旁腺切除术,对于无症状的PHPT病人选择手术还是保守治疗,应该遵循个体化原则。Primary hyperparathyroidism （PHPT） is the most common cause of hypercalcemia, which can cause osteoporosis, kidney stones, gastrointestinal, cardiovascular and neuropsychiatric symptoms. However, the clinical presentation of PHPT has changed and is mild or asymptomatie in up to 80 % of patients in Western countries. The procedure of diagnosis and localization for PHPT includes clinical examination, laboratory test and imaging techniques. Parathyroidectomy is the initial treatment choice for clinically symptomatic PHPT patients. The management of mild and asymptomatic PHPT patients should select surgical or conservative approach according to individualization principle.

关 键 词：甲状旁腺功能亢进 甲状旁腺切除术 高钙血症 

分 类 号：R6[医药卫生—外科学]