摘要
目的 探讨原发性甲状旁腺机能亢进症 (PHPT)的诊断与治疗方法。 方法 回顾性总结 2 2例PHPT的临床诊断和手术治疗效果。 结果 19例在确诊前均有病程不等的误诊误治过程。 2 1例行手术治疗 ,术后诊断甲状旁腺瘤 16例 ,甲状旁腺增生 2例 ,甲状旁腺癌 3例。除 1例术后并发多发性肋骨骨折致呼吸衰竭死亡外 ,2 0例术后恢复良好 ,甲状旁腺机能亢进症状完全得到控制。 结论 需普及对PHPT的诊断技术 ,提高临床医生对该病的认识 ,一旦确诊并伴有临床征象者 。
Objective To study the diagnosis and treatment of primary hyperparathyroidism (PHPT). Methods The clinical diagnosis and the effect of operation for 22 cases of PHPT were restrospectively analyzed. Results 19 cases had been misdiagnosed and mistreated before primary hyperparathyroidism were correctly diagnosed. 21 cases underwent operations for parathyroid adenoma (16 patients),parathyroid hyperplasia (2 patients) and parathyroid cancer (3 patients). The patients were cured after the operations except 1 case died of respiratory failure due to multiple rib fractures. Conclusion The diagnostic technique of primary hyperparathyroidism should be generalized and the patient who is correctly diagnosed and presents the clinical symptoms of hyperparathyroidism should be treated by operation.
出处
《中国现代手术学杂志》
2002年第4期254-256,共3页
Chinese Journal of Modern Operative Surgery
