甲状旁腺囊肿的临床特点和外科处理

The clinical characters and surgical management of parathyroid cyst

目的 :探讨甲状旁腺囊肿的临床特点和外科处理方法。方法 :回顾近 3 0年中发现的 5例甲状旁腺囊肿 ,结合囊肿的大小 ,位置 ,临床症状 ,随诊情况 ,讨论其治疗方法。结果 :5例均手术治疗结果满意 ,治愈率 1 0 0 % ,随诊 4～ 2 4年无异常 ,1例术前在 B超引导下细针穿刺治疗失败。结论 :甲状旁腺囊肿治疗应以手术为主 ,无功能性囊肿可试行 B超引导下细针穿刺治疗。

Objective:To evaluate the clinical characters and surgical management of the parathyroid cyst.Methods:Five cases of parathyroid cysts were retrospectively analyzed on the size,location and symptom of the cyst and follow up.Results:All of the five cases underwent surgery with the cure rate of 100%.There was nothing abnormal from 4 to 24 years of follow up.One of the five cases failed needle aspiration guided by ultrasonography before surgery.Conclusion:The main treatments for parathyroid cysts should be surgery,whereas for non functional cyst should be needle aspiration guided by ultrasonography. [Chinese Arch Otolaryngol Head Neck Surg,2000;7(2):85~87 From the Department of Surgery,Beijing Hospital 100730 (Dr.Zhu Mingwei)]