原发性甲状旁腺机能亢进症的诊治  

Diagnosis and treatment of primary hyperparathyroidism.

作　　者：张静[1] 刘峥嵘[2] 

机构地区：[1]中国医科大学附属第一医院内分泌科,沈阳110001 [2]辽宁省人民医院普外科,沈阳110015

出　　处：《中国实用外科杂志》2001年第6期341-343,共3页Chinese Journal of Practical Surgery

摘　　要：目的　探讨原发性甲状旁腺功能亢进症 (PHPT)的诊断和治疗方法。方法　对 15例原发性甲状旁腺机能亢进病例进行回顾性分析。结果　PHPT临床多表现为骨骼及泌尿系疾病 ,血钙、尿钙、血清碱性磷酸酶、PTH升高 ,血磷降低 ,X线特征性改变有助于诊断。治疗采用低位衣领形切口及单侧小切口探查术 ,取得良好效果。结论　PHPT诊断应结合临床表现、实验室检查、X线表现综合分析。B超可作为定位首选方法。对于定位准确的单发腺瘤 ,单侧小切口探查术创伤性小 。Objective To discuss the diagnosis and treatment of primary hyperparathyroidism.Methods 15 cases of hyperparathyroidism were analysed retrospectively.Results Skeletal and urinary system disorders were the most common symptoms.Lab examination and X-ray manifestation were helpful in diagnosis.Traditional collar incision and minimally invasive surgery were both used for treatment.Conclusion B-ultrasonic method can be the first choice for the location of the tumor.In addition to the collar incision and exploration,minimally invasive parathyroidectomy is more advanced and effective for the specific patients.

关 键 词：甲状旁腺功能亢进 诊断 治疗 PHPT 

分 类 号：R582.1[医药卫生—内分泌] R653[医药卫生—内科学]