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目的:分析纵隔异位甲状旁腺的手术疗效和病理特征。方法:回顾性分析1995年5月至2015年5月21例入住我科行手术治疗的纵隔异位甲状旁腺病人的临床资料。结果:男13例,女8例,平均年龄(56.5±8.5)岁。胸腔镜辅助手术(video associated thoracic surgery,VATS)切除9例,开胸手术13例,其中1例为VATS后2次开胸手术治疗。病理诊断为腺瘤16例(76.2%),腺瘤样增生4例(19.0%),腺癌1例(4.8%)。纵隔异位甲状旁腺直径为(2.2±1.2)cm。结论:纵隔异位甲状旁腺病理类型多为腺瘤,外科手术疗效好,尤其是VATS具有独特的临床优势。
Objective: To analyze the curative effect and pathological features of parathyroid gland in mediastinum. Methods: The clinical data of 21 patients who underwent surgical treatment of mediastinal ectopic parathyroid from May 1995 to May 2015 were retrospectively analyzed. Results: There were 13 males and 8 females with an average age of (56.5 ± 8.5) years. Video-assisted thoracic surgery (VATS) resection in 9 cases, thoracotomy in 13 cases, of which 1 case was VATS after 2 thoracotomy. Pathological diagnosis of adenomas in 16 cases (76.2%), adenoma-like hyperplasia in 4 cases (19.0%), adenocarcinoma in 1 case (4.8%). Mediastinal ectopic parathyroid diameter (2.2 ± 1.2) cm. Conclusion: The pathological types of ectopic parathyroid are mostly adenomas, and the surgical results are good. In particular, VATS has unique clinical advantages.