无症状型原发性甲状旁腺功能亢进临床诊治  

Asymptomatic primary hyperparathyroidism:Diagnosis and therapy

作　　者：张浩[1] 

机构地区：[1]中国医科大学附属第一医院普通外科教研室甲状腺外科,辽宁沈阳110001

出　　处：《中国实用外科杂志》2014年第4期311-314,共4页Chinese Journal of Practical Surgery

摘　　要：随着血钙和血甲状旁腺素检测以及颈部超声检查的普遍开展,越来越多的无症状型原发性甲状旁腺功能亢进(PHPT)病人得以诊断,其诊断和治疗逐渐受到人们的广泛关注。尽管关于无症状型PHPT的处理方法尚存在一定争议,但随着诊治经验的积累、较高论证强度临床研究的开展以及诊治指南的不断更新,针对无症状型PHPT的处理变得愈加规范。手术治疗、药物治疗与随访观察的合理选择是改善无症状型PHPT病人生存质量,获得最佳治疗效果的关键。As a result of a screening of serum calcium and and parathyroid hormone and neck uhrasound examination, the incidence of asymptomatic primary hyperparathyrnidism （PHPT） has increased year by year. The diagnosis and therapy of asymptomatic PHPT gradually arouses extensive attention. Although there are still conflicts on the management of asymptomatic PHPT, it has became more standard with the accumulation of experience on asymptomatie PHPT, the development of clinical studies with higher inlensity of argumentation, and the update of the guideline for the diagnosis and management of asymptomatic PHPT. The rational choose of surgery therapy, pharmacologic therapy and follow-up is the key to improve patients＇ life quality and achieve the best therapy effects for palients with asymplomatic PHPT.

关 键 词：原发性甲状旁腺功能亢进 无症状型 

分 类 号：R6[医药卫生—外科学]