原发性甲状旁腺病变的外科诊治

Diagnosis and treatment of primary parathyroid lesions

目的总结原发性甲状旁腺病变的外科诊治经验。方法回顾性分析该院2003—2010年经手术病理证实的甲状旁腺病变的诊治过程。结果 36例原发性甲状旁腺病变中,甲状旁腺腺瘤30例,甲状旁腺增生1例,甲状旁腺囊肿3例,甲状旁腺癌2例。其中8例为无功能性2,8例有功能性即原发性甲状旁腺功能亢进(PHPT)中无症状型5例,有症状型23例。36例均行肿块切除3,6例中1例甲状旁腺增生术后症状不改善行第2次手术;1例甲状旁腺癌术后复发5次手术;1例甲状旁腺腺瘤术后半年复发合并多脏器功能衰竭死亡。结论原发性甲状旁腺病变病灶要切除干净,以防复发。

Objective To summarize the experience in the diagnosis and treatment of primary parathyroid lesions. Methods A total of 36 cases of primary parathyroid lesions admitted from Jan 2003 to Jan 2010 were analyzed retrospectively. Results Among the 36 patients with primary parathyroid lesions ,there were 30 cases of parathyroid adenoma , 1 case of proliferation ,3 cases of cysts and 2 eases 6f cancers. Eight cases are non functional ; among 28 cases of PHPT, there were 5 asymptomatie type ,23 symptomatic. All 36 eases underwent resection of tumor and 1 proliferation had second operation. One PTC had 5 operations; 1 case of adenoma died half a year after operation. Conclusion The nidus of primary parathyroid lesions must be clean resected to prevent recurrence.