摘要
作者１０年来共收治６例甲状旁腺囊肿，占同期颈部肿块手术患者的０．２７％。６例中男性２例，女性４例。平均年龄４７．５岁，病程３个月至３０年不等。６例囊肿均为单发，直径２．８～７．０ｃｍ，位于下甲状旁腺区域。５例为无功能囊肿，囊壁薄，囊液清亮；１例为伴甲旁亢症状的功能性囊肿，组织学证实为甲状旁腺腺瘤出血囊性变。６例囊肿均经手术切除，术后经过良好。作者强调影象检查、经皮活检、囊液ＰＴＨ测定在术前诊断上的价值。
AbstractSix cases of parathyroid cysts were treated in ourhospital during a ten-year period with an incidence of0.27%of the total patients operated on for neck mass.Four females and two males had an average age of 47.5years with a history of the disease from 3 months to 30years. All patients had a single cyst ranging in sizefrom 2.7 to 7.0 cm in diameter,arising in the regionof inferior parathyroid gladms. Five caese of asymp-tomatic neck mass were nonfunctioning cysts, whichwere thin-walled and contained clear watery fluid.One case associated with hyperparathyroidism wasclassified as functioning cyst confirmed histologically asparathyroid adenoma with intracapsular hemorrhage.Surgical excision was made in all cases and postopera-tive recovery was uneventful. The importance of imag-ing studies,percutaneous biopsy,and cyst fluid assayfor PTH in preoperative diagnosis was emphasized.
出处
《中华外科杂志》
CAS
CSCD
北大核心
1995年第11期673-674,共2页
Chinese Journal of Surgery
