中华普通外科杂志
中華普通外科雜誌
중화보통외과잡지
CHINESE JOURNAL OF GENERAL SURGERY
2001年
1期
39-40
,共2页
张强%蔺锡侯%刘彦复
張彊%藺錫侯%劉彥複
장강%린석후%류언복
甲状旁腺功能亢进症%外科手术
甲狀徬腺功能亢進癥%外科手術
갑상방선공능항진증%외과수술
目的 评价单侧手术探查治疗甲状旁腺腺瘤的效果。 方法 总结1986~1999年20例患者的全部临床资料 ,对20例患者通过影像学诊断定位,行单侧探查术并与双侧探查术疗效进行对比。 结果 除1例推测为双腺瘤患者手术失败外,其余效 果均满意。 结论 中国人由甲状旁腺腺瘤引 起的甲状旁腺功能亢进症病变多在一侧,行单侧探查有一定优点。
目的 評價單側手術探查治療甲狀徬腺腺瘤的效果。 方法 總結1986~1999年20例患者的全部臨床資料 ,對20例患者通過影像學診斷定位,行單側探查術併與雙側探查術療效進行對比。 結果 除1例推測為雙腺瘤患者手術失敗外,其餘效 果均滿意。 結論 中國人由甲狀徬腺腺瘤引 起的甲狀徬腺功能亢進癥病變多在一側,行單側探查有一定優點。
목적 평개단측수술탐사치료갑상방선선류적효과。 방법 총결1986~1999년20례환자적전부림상자료 ,대20례환자통과영상학진단정위,행단측탐사술병여쌍측탐사술료효진행대비。 결과 제1례추측위쌍선류환자수술실패외,기여효 과균만의。 결론 중국인유갑상방선선류인 기적갑상방선공능항진증병변다재일측,행단측탐사유일정우점。
Objective To evaluate the result of unilateral ex ploration for the treatment of hyperparathyroidism caused by parathyroid adeno ma. Methods Clinical data of 20 case s from 1986 to 1999 were retrospectively analysed. Preoperative imaging examinat ion was suggestive of unilateral lesion and unilateral exploration was performed accordingly.Results were compared with that of bilateral exploration. Results In 19 out of 20 cases the result of u nilateral exploration was satisfactory making bilateral approach unnecessary exc ept for one whose symptom was later proved to be caused by bilateral lesions.Conclusions The authors came to the c onclusi on that solitary adenoma is the most common cause of hyperparathyroidism in Chin ese patients,hence unilateral exploration is of advantages.