原发性甲状旁腺功能亢进症诊治中的焦点问题  

Focal points in the diagnosis and treatment of primary hyperparathyroidism

作　　者：杨帆[1] 李平[1] 朱大龙[1] Yang Fan;Li Ping;Zhu Dalong(Department of Endocrinology,Drum Tower Hospital Affiliated to Nanjing University Medical School,Branch of National Clinical Research Centre for Metabolic Diseases,Nanjing 210008,China)

机构地区：[1]南京大学医学院附属鼓楼医院内分泌科,国家代谢性疾病临床医学研究中心分中心,210008

出　　处：《国际内分泌代谢杂志》2021年第6期553-556,561,共5页International Journal of Endocrinology and Metabolism

摘　　要：原发性甲状旁腺功能亢进症(PHPT)是由甲状旁腺病理性分泌过多甲状旁腺激素(PTH)所致的钙磷代谢紊乱性疾病。多数PHPT为散发性,少数的遗传性PHPT常常被临床忽略。随着体检的普及,无症状PHPT的发现率显著提高,但其治疗时机的选择仍存在争议。此外,对于异位PHPT的精确定位是手术治疗的关键。本文就PHPT诊治过程中的一些关键问题展开讨论,为临床提供借鉴。Primary hyperparathyroidism(PHPT)is a disorder of calcium and phosphorus metabolism caused by excessive parathyroid hormone(PTH)secreted by parathyroid glands.Most PHPTs are sporadic,and a few hereditary PHPTs are often ignored in clinic.With the popularization of physical examination,the discovery rate of asymptomatic PHPT has increased significantly,but the choice of treatment time is still controversial.In addition,the accurate positioning of ectopic PHPT is the key to surgical treatment.This review discusses some key problems in the diagnosis and treatment of PHPT,so as to provide reference for clinical practice.

关 键 词：原发性甲状旁腺功能亢进症 异位甲状旁腺功能亢进症 定位 

分 类 号：R582.1[医药卫生—内分泌]