中国实用外科杂志

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无症状型原发性甲状旁腺功能亢进临床诊治

张    浩   

  1. 中国医科大学附属第一医院普通外科教研室  甲状腺外科,辽宁沈阳 110001
  • 出版日期:2014-04-01 发布日期:2014-03-31

  • Online:2014-04-01 Published:2014-03-31

摘要:

随着血钙和血甲状旁腺素检测以及颈部超声检查的普遍开展,越来越多的无症状型原发性甲状旁腺功能亢进(PHPT)病人得以诊断,其诊断和治疗逐渐受到人们的广泛关注。尽管关于无症状型PHPT的处理方法尚存在一定争议,但随着诊治经验的积累、较高论证强度临床研究的开展以及诊治指南的不断更新,针对无症状型PHPT的处理变得愈加规范。手术治疗、药物治疗与随访观察的合理选择是改善无症状型PHPT病人生存质量,获得最佳治疗效果的关键。

关键词: 原发性甲状旁腺功能亢进, 无症状型

Abstract:

Asymptomatic primary hyperparathyroidism:Diagnosis and therapy        ZHANG Hao. Department of General Surgery, the First Affiliated Hospital of China Medical University, Shenyang 110001, China
Abstract    As a result of a screening of serum calcium and and parathyroid hormone and neck ultrasound examination, the incidence of asymptomatic primary hyperparathyroidism (PHPT) has increased year by year. The diagnosis and therapy of asymptomatic PHPT gradually arouses extensive attention. Although there are still conflicts on the management of asymptomatic PHPT, it has become more standard with the accumulation of experience on asymptomatic PHPT, the development of clinical studies with higher intensity of argumentation, and the update of the guideline for the diagnosis and management of asymptomatic PHPT. The rational choose of surgery therapy, pharmacologic therapy and follow-up is the key to improve patients’ life quality and achieve the best therapy effects for patients with asymptomatic PHPT.

Key words: primary hyperparathyroidism, asymptomatic