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作者10年来共收治6例甲状旁腺囊肿,占同期颈部肿块手术患者的0.27%。6例中男性2例,女性4例。平均年龄47.5岁,病程3个月至30年不等。6例囊肿均为单发,直径2.8~7.0cm,位于下甲状旁腺区域。5例为无功能囊肿,囊壁薄,囊液清亮;1例为伴甲旁亢症状的功能性囊肿,组织学证实为甲状旁腺腺瘤出血囊性变。6例囊肿均经手术切除,术后经过良好。作者强调影象检查、经皮活检、囊液PTH测定在术前诊断上的价值。
The authors treated 6 cases of parathyroid cysts in the past 10 years, which accounted for 0.27% of patients with neck masses during the same period. In 6 cases, there were 2 males and 4 females. The average age is 47.5 years, and the duration varies from 3 months to 30 years. 6 cases of cysts were single, diameter 2.8 ~ 7.0cm, located in the lower parathyroid region. Five cases were non-functional cysts with thin cysts and clear cyst fluid; one case was a functional cyst with symptoms of parathyroidism, histologically confirmed as parathyroid adenoma hemorrhagic cystic degeneration. 6 cases of cysts were all surgically removed and well after surgery. The authors emphasized the value of image examination, percutaneous biopsy, and cyst fluid PTH measurement in preoperative diagnosis.