| 原发性甲状腺机能亢进症的诊断与治疗 |
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| 引用本文： | Li Y,He S. 原发性甲状腺机能亢进症的诊断与治疗[J]. 中华外科杂志, 1998, 36(3): 152-154 |
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| 作者姓名： | Li Y He S |
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| 作者单位： | 中国医科附属第一医院普外科 |
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| 摘 要： |
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| 关 键 词： | 甲状旁腺 机能亢进 诊断 治疗 原发性 |
Diagnosis and treatment of primary hyperparathyroidism |
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| Li Y,He S. Diagnosis and treatment of primary hyperparathyroidism[J]. Chinese Journal of Surgery, 1998, 36(3): 152-154 |
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| Authors: | Li Y He S |
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| Affiliation: | Department of Surgery, First Clinical Institute, China Medical University, Shenyang 110001. |
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| Abstract: | OBJECTIVE: To study the diagnosis and treatment of hyperparathyroidism. METHOD: 37 patients with primary hyperparathyroidism (PHPT) were confirmed pathologically. The course of the disease varied, the longest one being 14 years and the shortest one 3 months. RESULT: 35 patients had parathyroidoma, 1 hyperplasia of parathyroid, and 1 carcinoma of parathyroid. The main clinical manifestation was symmetrical pain of the supporting bones and joints, hypercalcemia, hypercalcinuria, hypophosphatemia-hyperalkaline phosphatasemia, and increase of iPTH in peripheral blood. X-ray examination showed osteoporosis and decalcification, accompanied with multiple fracture occasionally, we injected (99m)Tc and MiBi into inferior thyroid artery as a demonstration for the diagnosis of tumor of parathyroid. CONCLUSION: The key procedure of the operation was to search for tumor of parathyroid. We used thymo-thyroid ligament as guide and injected methylene blue into the artery during operation to search thyroid. |
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