CAJ | 학술논문

目的回顾性分析无功能甲状旁腺囊肿的临床病理特点和手术治疗策略.方法检索1991年1月至2013年1月在北京协和医院接受治疗的无功能甲状旁腺囊肿患者的病例资料,分析其临床诊治特点.结果 22例经术中探查和术后病理证实为无功能甲状旁腺囊肿,其中男5例,女17例,就诊时平均年龄47.4(21 ～67)岁.所有患者均通过术前颈部超声检查发现颈部囊性肿物,其中10例同时伴有甲状腺多发占位.所有患者术前和术后的血清钙及血清磷水平均正常.11例行甲状旁腺囊肿单纯切除术,4例因术中判断肿物与囊肿关系密切而行甲状腺大部切除术.6例因甲状腺肿物同时行甲状腺肿物切除术或甲状腺大部切除术,术后甲状腺病理报告均为结节性甲状腺肿.1例因同时伴有甲状腺乳头状癌,而行根治性切除手术.所有患者均未出现手术相关并发症,术后随访7个月以上无囊肿复发迹象.结论甲状旁腺囊肿应作为一种颈部肿物的鉴别诊断之一,手术切除是一种有效安全的治疗方法.
목적 회고성분석무공능갑상방선낭종적림상병리특점화수술치료책략.방법 검색1991년1월지2013년1월재북경협화의원접수치료적무공능갑상방선낭종환자적병례자료,분석기림상진치특점.결과 22례경술중탐사화술후병리증실위무공능갑상방선낭종,기중남5례,녀17례,취진시평균년령47.4(21 ～67)세.소유환자균통과술전경부초성검사발현경부낭성종물,기중10례동시반유갑상선다발점위.소유환자술전화술후적혈청개급혈청린수평균정상.11례행갑상방선낭종단순절제술,4례인술중판단종물여낭종관계밀절이행갑상선대부절제술.6례인갑상선종물동시행갑상선종물절제술혹갑상선대부절제술,술후갑상선병리보고균위결절성갑상선종.1례인동시반유갑상선유두상암,이행근치성절제수술.소유환자균미출현수술상관병발증,술후수방7개월이상무낭종복발적상.결론 갑상방선낭종응작위일충경부종물적감별진단지일,수술절제시일충유효안전적치료방법.
Objective To investigate the strategy of diagnosis and treatment for non-functional parathyroid cysts.Methods The clinical data of non-functional parathyroid cysts patients undergoing resection between Jan.1991 and Jan.2013 in Peking Union Medical College Hospital were retrospectively analyzed.Results Non-functional parathyroid cysts were confirmed by intra-operation exploration and post-operation pathology in 22 patients.Ultrasound scan revealed cervical cystic lesions in all patients before operations,and concomitant lesions in thyroid were found in 10 patients.The serum calcium and phosphate level were in normal range in all patients.Local excisions were performed in 11 cases for isolated cyst.Subtotal thyroidectomy were performed in 10 cases for concomitant nodular goiter or close anatomy association cyst and thyroid.Radical resection of thyroid and cervical lymph node dissection were performed in one patient for concomitant thyroid carcinoma.No operation related complications was recorded in these series.No relapse presented in these patients after more than 7 months of follow-up.Conclusion Non-functional parathyroid cysts should be considered in the differential diagnosis of cervical mass even though it rarely occurs.Surgical resection was one promising treatment for non-functional parathyroid cysts.