【摘要】 目的探讨治疗甲状旁腺功能亢进症的小切口下甲状旁腺腺瘤切除手术方法。方法总结 1993～ 2 0 0 0年对 13例原发甲旁亢患者采用小切口下直接甲状旁腺腺瘤切除术的治疗经验 ,分析治疗甲旁亢的各种常用手术方法的优缺点。结果 13例术前诊断为单个甲状旁腺腺瘤术前定位正确率 10 0 % ,采用小切口直接切除 ,术后血钙均降至正常范围。首次手术成功率为 92 % (因 1例为甲状旁腺腺癌需 2次手术 )。结论只要术前正确定位 ,单个甲状旁腺腺瘤行小切口下腺瘤切除术是可行的 ,选择好指征 ,可替代常规颈部探查术更多还原

【Abstract】 ObjectiveTo evaluate the result of direct parathyroid adenomectomy for the treatment of hyperparathyroidism caused by single parathyroid adenoma. MethodsClinical data of 13 cases were retrospectively analyzed from 1993 to 2000. Preoperative Bus, CT, 99mTc-MIBI localization was suggestive of a single adenoma and direct parathyroid adenomectomy through minimal incision was performed.ResultsHyperparathyroidism was cured in all cases. One case underwent second operation in which the pathology found malignancy, making the success rate of simple adenomectomy of 92.3%.Conclusions Simple parathyroid adenomectomy for primary hyper parathyroidism caused by single adenoma is effective?safe alternative to conventional neck exploration should preoperative diagnostic measures verify a single adenoma as the etiology of hyperparathyroidism.更多还原