功能性甲状旁腺囊肿的诊断及外科处理

The diagnosis and surgical management of functioning parathyroid cysts

目的了解功能性甲状旁腺囊肿（ＦＰＴＣ）的特点，总结其诊治经验。方法回顾性研究了我院１９８４～１９９６年收治功能性甲状旁腺囊肿６例的临床表现及血钙、甲状旁腺素、Ｂ型超声和ＣＴ等辅助检查的特点；并结合文献讨论了功能性甲状旁腺囊肿诊治的有关问题。结果本组６例患者均经手术切除、病理检查证实为ＦＰＴＣ；其中囊实性２例，合并甲状旁腺腺瘤１例，位于纵隔１例；术后均恢复正常。结论功能性甲状旁腺囊肿应手术切除，避免囊肿穿刺活检。

Objective In order to further understand the characteristics of functioning parathyroid cyst (FPTC) and summarize our experience for its diagnosis and surgical management.Methods The clinical,operative,and pathologic findings of 6 FPTC cases encountered in our hospital since 1984 to 1996 are reported and literatures reviewed.Results Cysts were surgically removed in all 6 cases,and diagnosis proved by pathology.Two were partial solid cyst,one was complicated by an adenoma.One located in mediastinum.All patients recovered smoothly.Conclusions FPTC should be removed by operation and needle aspiration should not be attempted neither for diagnosis nor for treatment.