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总结了 30例原发性甲状旁腺机能亢进患者的手术治疗经验。颈丛或全身麻醉下低领位切口 ,术中快速病理结果证实 2 8例为甲状旁腺腺瘤 ,均单发性 ,其中 2例异位于甲状腺内 ,1例异位于前上纵隔 ,单纯切除 ;增生 1例 ,但仅 1个旁腺受累 ,全切除 ;腺癌 1例 ,侵及食管、气管 ,肿瘤及受累部分食管气管切除并气管切开。无手术并发症。 2 5例随访 8个月至 19年 ,包括增生 1例 ,症状改善无复发。腺癌患者带气管套管生存已 4年。提示手术治疗原发性甲状旁腺机能亢进疗效确实 ,应首选 ;明确为腺瘤者可行单侧探查 ,即使腺癌也不要轻易放弃。
Summarized 30 cases of primary hyperparathyroidism in patients with surgical treatment experience. Cervical plexus or general anesthesia under the low-neck incision, intraoperative rapid pathological results confirmed 28 cases of parathyroid adenoma, are solitary, of which 2 cases were located in the thyroid gland, 1 case is located in the anterior superior mediastinum, Simple excision; hyperplasia in 1 case, but only one parathyroid involvement, total resection; adenocarcinoma in 1 case, invasion of the esophagus, trachea, tumor and involvement of some esophageal tracheotomy and tracheotomy. No surgical complications. Twenty-five cases were followed up for 8 months to 19 years, including 1 hyperplasia, with no recurrence of symptoms. Adenocarcinoma patients with tracheal tube survival has been 4 years. Prompt surgical treatment of primary hyperparathyroidism indeed effect should be the first choice; clear for adenomas feasible unilateral exploration, even if adenocarcinoma do not give up easily.