单侧探查术治疗甲状旁腺腺瘤所致的甲状旁腺功能亢进症

目的 评价单侧手术探查治疗甲状旁腺腺瘤的效果。方法 总结1986-1999年20例患者的全部临床资料，对20例患者通过影销售量学诊断定位，行单侧探查术并与双侧探查术疗效进行对比。结果 除1例推测为双腺瘤患者手术失败外，其余效果均满意。结论 中国人由甲状旁腺腺瘤引起的甲状旁腺功能亢进症病变多在一侧，行单侧探查有一定优点。

Unilateral exploration for the treatment of hyperparathyroidism caused by adeno ma

Objective　To evaluate the result of unilateral ex ploration for the treatment of hyperparathyroidism caused by parathyroid adeno ma.　Methods　Clinical data of 20 case s from 1986 to 1999 were retrospectively analysed. Preoperative imaging examinat ion was suggestive of unilateral lesion and unilateral exploration was performed accordingly.Results were compared with that of bilateral exploration.　Results　In 19 out of 20 cases the result of u nilateral exploration was satisfactory making bilateral approach unnecessary exc ept for one whose symptom was later proved to be caused by bilateral lesions.Conclusions　The authors came to the c onclusi on that solitary adenoma is the most common cause of hyperparathyroidism in Chin ese patients,hence unilateral exploration is of advantages.