原发性甲状旁腺功能亢进症的诊断和治疗

李晓江; 张世文; 孙瑞梅; 杨洁; 任艳鑫

doi:10.13201/j.issn.1001-1781.2013.09.001

原发性甲状旁腺功能亢进症的诊断和治疗

- 昆明医科大学第三附属医院云南省肿瘤医院头颈外科(昆明, 650118)

详细信息

通讯作者: 张世文,E-mail:zhangshiwen_3@163.com

中图分类号: R582.1

收稿日期: 2012-08-16

Diagnosis and treatment strategies on primary hyperparathyroidism

- Department of Head and Neck Surgery, the Third Affiliated Hospital of Kunming Medical University, the Tumor Hospital of Yunnan Province, Kunming, 650118, China

More Information

Corresponding author: ZHANG Shiwen, E-mail: zhangshiwen_3@163.com

Received Date: 16 August 2012

摘要

摘要: 目的:回顾性分析13例原发性甲状旁腺功能亢进症(PHPT)患者的临床资料,探讨PHPT的误诊原因和诊治策略。方法:收集2002-2012年13例PHPT患者的资料,分析其首发症状、实验室检查及影像学表现。患者均行手术治疗,术后随访3~24个月,平均12.2个月。结果:13例患者(12例甲状旁腺腺瘤和1例甲状旁腺增生)手术均获成功,术后血钙恢复正常,骨骼及泌尿系症状缓解。结论:PHPT首发症状多为骨型和肾型。PTH(血钙)升高、B超(CT)及ECT定位是诊断该病的重要依据。手术切除病变的甲状旁腺组织是该病最有效的治疗方式。
- 甲状旁腺功能亢进症,原发性 /
- 高血钙 /
- 诊断 /
- 外科手术
Abstract: Objective: Through analyzing the 13 cases with primary hyperparathyroidism(PHPT) retrospectively, We detected the reasons of the misdiagnosis and the strategy of diagnosis and treatment for the disease.Method: Thirteen cases of clinical materials on PHPT were collected from 2002 to 2012.Initial symptom, laboratory examination and imaging findings were analyzed. Thirteen cases of patients with PHPT all were performed surgery. The period of postoperative follow up was from 3 to 24 months, averaged for 12.2 months.Result: Surgeries on 13 patients were successful, including 12 cases of parathyroid adenoma and 1 case of parathyroid hyperplasia. After the operation, blood calcium went back to normal, and the symptoms of bone and urinary tract were relieved.Conclusion: Initial symptoms of PHPT are predominantly manifested as bone and kidney types. Elevated PTH/blood calcium levels, B-ultrasound/CT and ECT localization are the important diagnosis basis of this disease. Surgical excision of the lesion parathyroid tissue is the most effective treatment.
- hyperparathyroidism,primary /
- high blood calcium /
- diagnosis /
- surgery

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