目的探討原發性甲狀旁腺機能亢進(PHPT)小切口單側探查的適應證和探查經驗。方法對我科1992年1月至2001年12月所作的26例小切口單側探查病例的臨床病理資料進行回顧性分析。結果小切口單側探查26例,成功25例。結論對診斷明確且準確定位者先采取定位側小切口; 冰凍切片證實為甲狀旁腺腫瘤,且病理學特點與其臨床表現、實驗室檢查和定位診斷相符者可僅行單側探查。
Citation:
Xu delong,Liu ningqing,Xu jiapeng,Liang baoli. Unilateral Exploration in Primary Hyperparathyroidism (Report of 26 Cases). CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2003, 10(5): 489-490. doi:
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- 1. Worsey MJ, Carty SE, Watson CG. Success of unilateral neck exploration for sporadic primary hyperparathyroidism [J]. Surgery, 1993; 114(6)∶1024.
- 2. 朱預, 孟迅吾, 張振寰, 等. 原發性甲狀旁腺機能亢進癥的外科治療 [J]. 中華外科雜志, 1987; 25(3)∶ 142.
- 3. Kaplan EL, Yashiro T, Salti G. Primary hyperparathyroidism in the 1990s. Choice of surgical procedures for this diseases [J]. Ann Surg, 1992; 215(4)∶300.
- 4. Irvin GL 3rd, Dembrow VD, Prudhomme DL. Clinical usefulness of an intraoperative “quick parathyroid hormone” assay [J]. Surgery, 1993; 114(6)∶1019.