DIAGNOSIS AND TREATMENT OF PRIMARYHY PERPARATHYROIDISM(REPORTOF11CASES)_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

ZhuJingqiang ¹ , LiuJialin ¹ , LiXia ² , etal. ³

DepartmentofGeneralSurgery,FirstAffiliatedHospital,WestChinaUniversityofMedicalSciences,Chengdu610041;

Corresponding author：

Keywords：

Primaryhyperparathyroidism; Parathyrin; Adenoma; Ectopicparathyroid

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FromJune1989toMarch1998,11casesofprimaryhyperparathyroidism(PHP)hadbeentreatedsurgicallyin　.
thishospital.Thepreoperativelocalizationof9caseswereachievedbyoneortwononinvasivetechniquesincludingultrasonography,computedtomography,colorDopplerimagingand99mTcMIBIscintigraphy.Parathyroidectomyweredonesuccessfullyin10of11caseswiththepathologicalresultsofadenomain10casesandonenormalparathyroid.Theauthorsemphasize①earlyrecognitionanddiagnosiswhichcanbehelpedbythenoninvasivetechniquesmentionedaboveforlocalization,②familiaritywiththelocalanatomyespeciallyfortheectopicparathyroidtogetherwithfrozensectionbiopsyduringoperation,and③intensivemedicalcareaftersurgeryandfollowupsoastoheightenthecapacityofdiagnosisandtreatmentofthisdisease.

Citation： ZhuJingqiang,LiuJialin,LiXia,etal.. DIAGNOSIS AND TREATMENT OF PRIMARYHY PERPARATHYROIDISM(REPORTOF11CASES). CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 1998, 5(5): 277-279. doi: Copy

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2.	蔡伟耀,曹德生,顾竹金.原发性甲状旁腺功能亢进症64例外科治疗的经验.中华内分泌代谢杂志,1991;7(3)∶147.
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1. 　沈正荣,彭淑牖.甲状旁腺肿瘤的外科处理(附15例报告).中国实用外科杂志,1997;17(2)∶83.
2. 　蔡伟耀,曹德生,顾竹金.原发性甲状旁腺功能亢进症64例外科治疗的经验.中华内分泌代谢杂志,1991;7(3)∶147.
3. 　EricDW,JeffreyA,Norton.Endocrimesurgicaldiseaseofelderlypatients.SurgicalClinicsofNorthAmerica,1994;74(1)∶131.
4. ziakouriCE,SkannavisS.Valueofultrasonography,CTandMIRimaginginthediagnosisofprimaryhyperparathyroidism.ActaRadiol,1996;37(5)∶720.
5. 　高　硕,周荫保,徐家骅.原发性甲状旁腺功能亢进的核素定位诊断.中华内分泌代谢杂志,1996;12(2)∶93.
6. RyanJA,EisenberyB,PadoKM,etal.Efficacyofselecticeunilateralerplorationinhyperparathyroidismfasedonlocaliyationtests.ArchSary,1997;132(8)∶886.
7. McintyreRCJr,EisenachJH,PearlmanNW,etal.Intrathyroidalparathyroidglandscanbeacauseoffailedcervicalexplorationforhyperparathroidism.AmJSurg,1997;176(6)∶750.
8. BrotsierAR,NussbaumSR.Hungrybonesyndrome:chinicalandbiochemicalpredictorsofitsoueccrrenceofterparathyroidsurgery.AmJMed,1988;84(4)∶654.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

DIAGNOSIS AND TREATMENT OF PRIMARYHY PERPARATHYROIDISM(REPORTOF11CASES)

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