继发性甲状旁腺功能亢进40例外科治疗效果分析

目的：对手术治疗继发性甲状旁腺功能亢进的适应证及疗效进行探讨. 方法：回顾性分析2011年3月至2014年1月收治的40例继发性甲状旁腺功能亢进病人的临床资料,分析手术适应证、手术时间、术后并发症和手术疗效.结果：手术均顺利完成,均切除手术范围内所有可辨认甲状旁腺.其中 37例病人各切除4枚甲状旁腺,1例切除5枚甲状旁腺,2例各切除3枚甲状旁腺.平均手术时间为55.5分钟.术后不良反应均给予对症治疗后好转或恢复.结论：外科手术治疗对于继发性甲状旁腺功能亢进病人,可达到控制钙磷水平和改善生活质量的目的.

Objectiv： To explore the surgical indications and perioperative management for secondary hyperparathyroidism （SPHT）. Methods： Data of 40 cases of SHPT underwent parathyroidectomy were collected and analyzed retrospectively. The indications,operation time,postoperative complications and treatment outcomes were summarized and analyzed retrospectively. Results： All of 40 cases were successfully treated. All the parathyroids identified during surgey would be resected. Among them, each of 37 cases was resected 4 parathyroids,1 case was resected 5 parathyroids,and 2 cases each were resected 3 parathyroids. The average operation time was 55.5（36-82）minutes. Conclusion Surgery is the safe and effective treatment for patients with SPHT. It can achieve the goal of control calcium and phosphorus and improve quality of life.