中华普通外科杂志
中華普通外科雜誌
중화보통외과잡지
CHINESE JOURNAL OF GENERAL SURGERY
2011年
4期
289-291
,共3页
甲状旁腺功能亢进症%甲状旁腺切除术%甲状旁腺素
甲狀徬腺功能亢進癥%甲狀徬腺切除術%甲狀徬腺素
갑상방선공능항진증%갑상방선절제술%갑상방선소
Hyperparathyroidism%Parathyroidectomy%Parathyroid hormone
目的 分析甲状旁腺功能亢进患者的手术治疗和病理特征.方法 回顾性分析1974年10月至2009年1月间368例在北京协和医院接受手术治疗的甲状旁腺功能亢进患者的临床资料.结果 368例患者接受手术治疗,女性249例(67.7%),男性119例(32.3%).原位甲状旁腺318例(86.4%),异位甲状旁腺50例(13.6%).病理诊断为腺瘤264例(71.7%),增生91例(24.7%),腺癌11例(3.0%),囊肿2例(0.6%).冰冻切片与石蜡病理符合率86.5%.257例(68.0%)患者术后有低钙表现,159例患者(66.0%)一周内恢复.结论 绝大多数甲状旁腺功能亢进患者病理诊断为腺瘤.异位甲状旁腺相当常见,应引起手术医师足够重视.
目的 分析甲狀徬腺功能亢進患者的手術治療和病理特徵.方法 迴顧性分析1974年10月至2009年1月間368例在北京協和醫院接受手術治療的甲狀徬腺功能亢進患者的臨床資料.結果 368例患者接受手術治療,女性249例(67.7%),男性119例(32.3%).原位甲狀徬腺318例(86.4%),異位甲狀徬腺50例(13.6%).病理診斷為腺瘤264例(71.7%),增生91例(24.7%),腺癌11例(3.0%),囊腫2例(0.6%).冰凍切片與石蠟病理符閤率86.5%.257例(68.0%)患者術後有低鈣錶現,159例患者(66.0%)一週內恢複.結論 絕大多數甲狀徬腺功能亢進患者病理診斷為腺瘤.異位甲狀徬腺相噹常見,應引起手術醫師足夠重視.
목적 분석갑상방선공능항진환자적수술치료화병리특정.방법 회고성분석1974년10월지2009년1월간368례재북경협화의원접수수술치료적갑상방선공능항진환자적림상자료.결과 368례환자접수수술치료,녀성249례(67.7%),남성119례(32.3%).원위갑상방선318례(86.4%),이위갑상방선50례(13.6%).병리진단위선류264례(71.7%),증생91례(24.7%),선암11례(3.0%),낭종2례(0.6%).빙동절편여석사병리부합솔86.5%.257례(68.0%)환자술후유저개표현,159례환자(66.0%)일주내회복.결론 절대다수갑상방선공능항진환자병리진단위선류.이위갑상방선상당상견,응인기수술의사족구중시.
Objective To analyze the surgical treatment and pathological manifestations in patients with hyperparathyroidism. Methods The clinical data of 368 patients undergoing parathyroidectomy with hyperparathyroidism in Peking Union Medical College Hospital between Oct 1974 and Jan 2009 were retrospectively analyzed. Results 368 cases underwent parathyroidectomy. There were 249 women (67.7%) and 119 men (32. 3% ). Parathyroid lesions were located in normal positions in 318 cases (86. 4% ), and in ectopic positions in 50 cases (13.6%). The pathology of 264 cases (71.7%) was adenoma, 91cases (24.7%) was hyperplasia, 11 cases (3.0%) was carcinoma, and two cases was parathyroid cyst. Postoperatively 257 cases (68.0%) presented with hypocalcaemia, and 159 cases (66. 0% ) recovered within 7 days. Conclusions The main pathological diagnosis was adenoma. It is common for a ectopic parathyroid gland in which a parathyroid lesion is located.
