原发性甲状旁腺功能亢进热消融治疗专家共识(2021版)

Expert consensus on thermal ablation for the treatment of primary hyperparathyroidism(2021 Edition)

原发性甲状旁腺功能亢进(原发甲旁亢)发病率呈上升趋势,严重影响患者的生活质量。与经典手术切除相比,原发甲旁亢热消融治疗具有微创、安全、有效等优势。相较其它肿瘤性病变,原发甲旁亢热消融治疗具有特殊性。一方面,原发甲旁亢主要引起机体钙磷代谢紊乱,在病理、临床表现和转归方面不同于肿瘤性病变;另一方面,甲旁亢热消融治疗在技术细节、疗效评价、术后随访和干预措施等方面也有其自身特点。为推动原发甲旁亢热消融治疗工作顺利开展,为相关医生提供全面和有价值的技术细节指导,促进原发甲旁亢微创治疗的规范化,中日友好医院介入医学科在大量临床实践和科研基础上,联合国内相关领域专家,多次研讨修正,制定了本共识。

In recent decades,the incidence of primary hyperparathyroidism(PHPT)is increasing,causing serious impact on the patients’ life quality.Comparing with parathyroidectomy--a classical treatment,thermal ablation of PHPT has multiple advantages which include minimal invasion,safety and effectiveness.Beyond management of other kinds of solid tumors,it has unique characteristics when thermal ablation was used to manage PHPT.On one hand,PHPT mainly induce calcium and phosphorus metabolic disorder,and the characteristics of PHPT are far more different from other kinds of solid tumors regarding to the pathology,clinical symptoms and treatment outcomes.On the other hand,the exclusive technique details,evaluation of efficiency,follow-up and postoperative intervention should be mastered and applied when thermal ablation is employed to manage PHPT.To provide comprehensive and valuable detailed technical guidance to operators and to standardize the application of thermal ablation for PHPT lesions,this consensus has been carried out by experts from the Department of Interventional Medicine of China-Japan Friendship Hospital,as well as the relavant experts in China on the basis of plenty of clinical experience and scientific research works.