摘要
自1956～1989年外科治疗原发性甲状旁腺功能亢进症64例,手术成功62例(96.9％)。甲状旁腺腺瘤以右下好发(占41.4％),其次为左下(占25.9％)、左上(占13.8％)及右上(占10.3％)。异位旁腺腺瘤(占8.6％)。手术成功的关键是诊断可靠、术前定位明确、熟悉甲状旁腺的解剖及病变、系统而有步骤地探查。
Sixty-four cases of primary hyperparalhyroidism were treated surgically during the period from 1956 to 1989. 62 of them (96.9%)became symptom-free and were classified as cured. Among them 55 were with single adenoma (88.5%), each one with double adenoma and carcinoma (1.5%), 5 with hyperplasia of parathyroid (8.5%) including one MEA I and one hyperplasia plus adenoma. 41.4% of the parathyroid adenoma were located in lower right, 25.9% in lower left, 13.8% in upper left, 10.3% in upper right lobe and 8.6% ectopically.
The success of surgical treatment depended upon correct diagnosis, careful searching of parathyroid tumor, knowledge of anatomy, recognition of lesion and systematic exploration.
出处
《中华内分泌代谢杂志》
CAS
CSCD
北大核心
1991年第3期147-149,共3页
Chinese Journal of Endocrinology and Metabolism
关键词
甲旁亢
手术
Primary hypel'parathyroidism
