| 原发性甲状旁腺功能亢进症64例外科治疗的经验 |
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| 引用本文： | 蔡伟耀 曹德生. 原发性甲状旁腺功能亢进症64例外科治疗的经验[J]. 中华内分泌代谢杂志, 1991, 7(3): 147-149 |
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| 作者姓名： | 蔡伟耀 曹德生 |
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| 作者单位： | 上海第二医科大学附属瑞金医院外科 200025(蔡伟耀，曹德生，顾竹金，杨毓兴)，上海第二医科大学附属瑞金医院外科 200025(林言箴) |
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| 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。
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| 关 键 词： | 甲旁亢 手术 |
EXPERIENCE OF SURGICAL THERAPY ON PRIMARY HYPERPARATHYROIDISM |
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| Cai Wei-yaoDept. of Surgery,Rui Jin Hospital,Shanghai Second Medical University. EXPERIENCE OF SURGICAL THERAPY ON PRIMARY HYPERPARATHYROIDISM[J]. Chinese Journal of Endocrinology and Metabolism, 1991, 7(3): 147-149 |
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| Authors: | Cai Wei-yaoDept. of Surgery Rui Jin Hospital Shanghai Second Medical University |
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| Abstract: | 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. |
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| Keywords: | Primary hypel'parathyroidism |
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