定性明确而定位不明确的原发性甲状旁腺功能亢进症不应盲目手术

Surgery for primary hyperparathyroidism with elusive localization should be given careful considerations

原发性甲状旁腺功能亢进症是近年来发病率快速上升的一种内分泌疾病，通过术前对肿瘤的准确定位后切除肿瘤可以获得良好的治疗效果。但由于缺少联合影像学检查、辅助科室医师经验不足以及有经验的外科医师未参与评估等原因，一部分病例仍无法获得准确的术前定位。对于定性明确而定位不明确的病例治疗策略一直存在争议，近年来不要积极手术探查观点逐渐得到了绝大多数外科医师的认可，本文就不要盲目手术探查的原因加以分析。

Primary hyperparathyroidism is a common endocrine disorder with an increasing incidence. Good prognosis could be ensured by precise localization and resection of the tumor. But accurate tumor localization is still insufficient due to deficiency of imaging diagnosis and inexperienced physicians. Surgeries for the primary hyperparathyroidism with elusive localization are controversial. Comprehensive surgical exploration is not recommended by most surgeons. Hereby the specific reasons for not aggressive management are proposed.