三发性甲状旁腺功能亢进的外科治疗
摘要
目的探讨三发性甲状旁腺功能亢进的临床特点及诊治。方法报告1例。肾移植后三发性甲状旁腺功能亢进的诊治、术中应用快速测定甲状旁腺素决定切除甲状旁腺。结果手术切除3个甲状旁腺后甲状旁腺素快速下降超过50％，术后出现低血钙，甲状旁腺索低下，经补钙2个月后血钙及甲状旁素恢复正常。结论三发性甲状旁腺功能亢进是一种少见病，以手术治疗为主，术中甲状旁腺素快速测定决定切除甲状旁腺是极好的方法。
出处
《中国基层医药》
CAS
2008年第3期443-444,共2页
Chinese Journal of Primary Medicine and Pharmacy
参考文献11
-
1Ahmad R, Hammond J M. Prin:ary, secondary, and tertiary hyper- parathyroidism. Otolaryngol Clin N Am, 2004,37 (4) : 701-713.
-
2Kilgo MS, Pirsch JD, Warner TF, el al. Terliary hyperparathyroidism after renal transplantation: surgical strategy. Surgery,1998,124(4) :677-684.
-
3Nichol PF, Starling .IR, Mack E, et al. Long-term follow-up of patients with tertiary hyperparathyroidism treared by resection of a sing or double adenoma. Ann Surg,2002,235(5) :673-680.
-
4Kerby JD, Rue LW, Blair H. et al. Operative treatment of tertiary hyperparathyroidism. Ann Surg, 1998,227 (6) : 878-886.
-
5Pasieka JL, Parsons LL. A prospective surgical outcome study assessing the impact of parathyroidectomy on symploms in patients with secondary and tertiary hyperparathroidism. Surgery, 2000, 128(4) :531-537.
-
6Nichol PF, Mack E. Bianco J, cl al. Radlogulded parathyroidectomy in patients with secondary and lertiary hyperparathyroidism. Surgery, 2003,134 (4) : 713-717.
-
7Milas M,Weber CJ. Near-total paralhyroidectomy is beneficial for patients whh secondary and tertiary hyperparathyroidism. Surgery,2004,136(6) : 1252-1259.
-
8Kebebew E, Duh QY, Clark OH. Tertiary hyperparathyroidism. Arch Surg,2004,139:974-977,
-
9Kinnaert P, Nagy N, Decosler-Gervy C,et al. Persistent hyperparathyroidism requiring surgical treatment after kidney transplantation. Word J Surg, 2000,24( 11 ) : 1391-1395.
-
10Vignali E, Pieone A, Materazzi G, et al. A quick intraoperative parathyroid hormone assay in the surgical management of patients with primary hyperparathyroidism:a study of 206 consecutive case. Eur J Endocrinol, 2002,146 : 783-788.
-
1王鸿雁.尿毒症继发性甲状旁腺功能亢进症甲状旁腺切除术的护理[J].中国基层医药,2013,20(12):1913-1914. 被引量：2
-
2王明军,毛秋粉,王新征,刘金彪.三发性甲状旁腺功能亢进一例[J].中华普通外科杂志,2014,29(1):75-75.
-
3姜武佳,申凯萍.手术治疗肾移植术后三发性甲状旁腺功能亢进的护理[J].中华现代护理杂志,2008,14(32):3402-3403.
-
4戴威,卢林捷,孔令泉,李达学,苏新良,刘胜春,厉红元,任国胜,吴凯南.甲状旁腺功能亢进症合并甲状腺乳头状癌三例报道[J].中华内分泌外科杂志,2017,11(1):86-87. 被引量：7
-
5刘倩,蒋玉萍,李倩倩,陈铎.妊娠合并原发性甲状旁腺功能亢进2例报告[J].现代妇产科进展,2013,22(3):248-248.
-
6相洪琴.切除病变的甲状旁腺对病人有益[J].国外医学情报,2001,22(9):45-46.
-
7卞维静,张凌,姚力.甲状旁腺切除术治疗继发性甲状旁腺功能亢进症[J].临床肾脏病杂志,2005,5(5):200-203.
-
8刘君,王家东.甲状旁腺切除术治疗继发性甲状旁腺功能亢进[J].中国耳鼻咽喉头颈外科,2005,12(7):427-429. 被引量：6
-
9刘占肖,杨松涛.尿毒症继发性甲状旁腺功能亢进症围手术期护理体会[J].中国现代医药杂志,2017,19(3):88-89. 被引量：5
-
10李卫军,国士刚,李国明,司海波.原发性甲状旁腺功能亢进症的诊断和外科治疗体会(附7例报告)[J].中国现代药物应用,2014,8(4):179-179.
