原发性甲状旁腺功能亢进症的诊治(附6例报告)

目的：探讨原发性甲状旁腺功能亢进症(PHPT)的诊断和治疗。方法：分析1999年7月～2002年12月收治的6例PHPT患的临床病理资料。结果：甲状旁腺腺瘤5例。其中骨型l例，肾型l例，肾骨型3例，均行病变甲状旁腺切除术。术后随访无复发。甲状旁腺癌l例，曾行4次手术治疗。2例术前发生甲状旁腺危象。6例均治愈出院。结论：PHPT诊断应结合临床表现、实验室检查、X线表现综合分析。PHPT定性诊断一旦明确即应行甲状旁腺的手术探查。B超及CT可作为定位的有效方法。对于定位准确的单发腺瘤，单侧小切口探查术创伤性小，值得推荐。

Diagnosis and treatment of primary hyperparathyroidism:Analysis of 6 cases

Obejective:To explore the diagnosis and treatment of primary hyperparathyroidism(PHPT).Methods:Clinicopathological data of 6 cases of PHPT were retrospectively analysed.Result:5 cases had parathyroidoma and 1 case was parathyroid carinoma.1 was with bone lesion and 1 was with urinary calculus and other 3 with bone lesion and urinary caluculus,all the cases underwent parathyroid adenoma resection.The parathyroid carcinoma patients was admitted to the hospital for four times,the patient underwent four times operation.2 cases had hypercalcemia crisis before operation.Conclusion:Combined analysis of clinical manifestation,laboratory examination and X ray finding are the main ways of correct PHPT diagnosis.B ultrasonography and computed tomography are the effective choice for the location of the tumor.Once the diagnosis is made,the operation should be performed.In addition to the collar incision,minimally incision parathyroidectomy is has advantage for accurate location cases.