超声引导下微波消融治疗原发性甲状旁腺功能亢进症1例并文献复习

原发性甲状旁腺功能亢进症(甲旁亢)是内分泌系统的常见疾病之一,传统治疗方案包括手术治疗和药物治疗。外科手术虽然是首选的治疗手段,但部分患者可能存在手术禁忌证或者由于各种因素拒绝手术,药物治疗亦无法从根本上去除病因故疗效欠佳,因此探索微创手段治疗原发性甲旁亢具有重要的临床意义。微波消融技术曾用于良恶性甲状腺结节、继发性甲旁亢及其他部位肿瘤的治疗,并取得了一定疗效,本文报道采用超声引导下微波消融治疗原发性甲旁亢1例,系统记录了该患者的诊疗、随访经过,并结合文献分析了微波消融治疗原发性甲旁亢的随访观察要点。

Ultrasound-guided percutaneous microwave ablation for primary hyperparathyroidism: a case report and literature review

Primary hyperparathyroidism(pHPT) is a common endocrine disease. The traditional treatment modalities of it include operative treatment and drug therapy. Though the former is the preferred treatment, some patients refuse this modality because of possibly operational contraindications or other reasons. Drug treatment cannot eradicate the disease and has poor efficacy. Therefore, it is significant to explore the application of minimally invasive technique in the treatment of pHPT. Microwave ablation (MWA) has been used in the treatment of benign and malignant thyroid nodules, secondary HPT and other tumors, and has had certain efficacy. This paper reports a pHPT case treated with ultrasound-guided percutaneous MWA, systematically records the diagnosis, treatment and follow-up process. And the key points of follow-up observation are analyzed with literature review.