甲状旁腺囊肿1例全科诊疗体会  

A Case of Parathyroid Cyst and Clinical Thinking in General Practice

作　　者：李婷[1,2] 高宋婷 任菁菁 任文[2] LI Ting;GAO Song-ting;REN Jing-jing;REN Wen(Zhejiang Chinese Medical University,Hangzhou,Zhejiang,310053,China;不详)

机构地区：[1]浙江中医药大学,浙江杭州310053 [2]浙江大学医学院附属第一医院全科医学科,浙江杭州310003

出　　处：《中国初级卫生保健》2023年第3期101-103,共3页Chinese Primary Health Care

摘　　要：甲状旁腺肿物在临床上较少见,极易被误诊为甲状腺囊肿,导致甲状腺及囊肿同时被切除,造成严重后果。随着体检的普及和影像学的发展,甲状旁腺囊肿的发现率逐年增长。甲状旁腺囊肿是一种病因不明的颈部肿物,可根据临床症状及激素水平分为无功能性和功能性两类,其中无功能性较多见。全科医师对此病认识不足,易发生漏诊和误诊现象。现通过分析1例无功能性甲状旁腺囊肿患者的诊治过程,总结诊断要点及治疗方式,以期让更多的全科医师能在第一时间明确该疾病。Parathyroid glands are rare in clinical practice and are easily misdiagnosed as thyroid cyst,leading to the removal of thyroid gland and cyst at the same time,resulting in serious consequences.With the popularity of physical examination and the development of imaging,the detection rate of parathyroid cysts has increased year by year.Parathyroid cyst is a neck mass of unknown etiology,which can be divided into no functional and functional categories according to clinical symptoms and hormone levels,among which no functional is more common.General practitioners have insufficient understanding of this disease,and they are prone to missed diagnosis and misdiagnosis.By analyzing the diagnosis and treatment process of a patient with no functional parathyroid cyst,the key points of diagnosis and treatment methods are summarized,in order to enable more general practitioners to identify the disease in the first time.

关 键 词：甲状旁腺囊肿 全科医师 诊疗思路 

分 类 号：R582[医药卫生—内分泌]