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1989年6月~1998年3月,我院外科收治原发性甲状旁腺功能亢进症11例。术前根据临床表现、实验室检查以及经B超、CT、彩色多普勒超声波及99mTcMIBI检查获定性定位诊断者9例。11例均行手术治疗,手术成功10例。病理检查结果:甲状旁腺腺瘤10例,正常甲状旁腺1例。作者认为:①应提高对本病的认识以利早期诊断,术前联合应用无创性影像学检测手段以准确定位;②术者应熟悉局部解剖,尤其对异位甲状旁腺的充分认识,要有清晰的探查思路和高超的操作技巧,并结合术中常规冰冻切片检查以提高手术成功率;③术后加强内科治疗及随访,以全面提高甲状旁腺功能亢进症的诊治水平。
June 1989 to March 1998, our hospital surgical treatment of primary hyperparathyroidism in 11 cases. Preoperative based on clinical manifestations, laboratory tests and B ultrasound, CT, color Doppler ultrasound and 99mTcMIIIBI diagnostic diagnosis of positioning in 9 cases. Eleven patients underwent surgery, the successful operation of 10 cases. Pathological examination results: 10 cases of parathyroid adenoma, 1 case of normal parathyroid. The authors believe that: ① should improve the understanding of the disease in order to facilitate the early diagnosis, preoperative joint application of noninvasive imaging test means to accurately locate; ② surgeons should be familiar with the local anatomy, especially for the full understanding of ectopic parathyroid, to A clear exploration of thinking and superb operating skills, combined with intraoperative conventional frozen section examination to improve the success rate of surgery; ③ postoperative medical treatment and follow-up to enhance the diagnosis and treatment of hyperparathyroidism.