摘要: |
目的 总结原发性甲状旁腺功能亢进症(PHPT)的外科治疗经验及误诊分析。方法 回顾性分析了2013-2016年青海大学附属医院收治的18例PHPT患者,分析患者的临床表现、实验室检查、影像学检查、治疗方式,随访结果。结果 18例患者中,8例行手术治疗,手术后随访2~5年,没有复发及再次手术者;其余10例患者,观察随访中,未行药物治疗,症状没有明显加重,生活质量可。结论 大部分PHPT患者是由甲状旁腺瘤引起,目前手术仍然是主要的治疗手段。仍有很大一部分PHPT患者没有任何不适症状,或者症状不典型,这部分PHPT患者手术及药物治疗指征还不明确。 |
关键词: 原发性甲状旁腺功能亢进症 甲状旁腺瘤 诊断 外科治疗 误诊分析 |
DOI: |
分类号: |
基金项目:青海省卫计委医药卫生指导性课题(2017-wjzdx-60);青海省第二批“高端创新人才千人计划”培养人才 |
|
Primary hyperparathyroidism: Analysis Report of 18 Cases |
LI zitao, 沈国双
|
Department of Surgical Oncology,Affiliated Hospital of Qinghai University
|
Abstract: |
ObjectiveSummarized the surgical treatment experience and misdiagnosis analysis of primary hyperparathyroidism (PHPT).MethodsA retrospective analysis of 18 patients with PHPT admitted to the Affiliated Hospital of Qinghai University from 2013 to 2016 was performed to analyze the clinical manifestations, laboratory examinations, imaging examinations, treatment methods, and follow-up results.ResultsOf the 18 patients, 8 underwent surgical treatment. The patients were followed up for 2~5 years. There were no recurrences and reoperations. The remaining 10 patients were not treated with drugs during the follow-up. The symptoms were not significantly aggravated and the quality of life was acceptable.ConclusionMost patients with PHPT are caused by parathyroid adenoma, and surgery is still the main treatment. There are still a large number of patients with PHPT without any symptoms, or the symptoms are not typical. The indications for surgery and medication in this part of PHPT patients are still unclear. |
Key words: primary hyperparathyroidism parathyroid adenoma diagnosis surgical treatment misdiagnosis analysis. |