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目的:总结甲状旁腺增生导致的反复泌尿系结石的诊断和治疗经验,提高泌尿外科医师对此病的认识、分析和治疗水平。方法:回顾性分析1例由甲状旁腺增生导致的反复泌尿系结石患者的临床资料:因反复泌尿系结石伴双上肢骨痛十余年,反复行体外冲击波碎石、输尿管镜碎石及相关骨科治疗,症状控制不理想。本次就诊时在详细追问病史下经科室会诊考虑为甲状旁腺机能亢进导致的泌尿系结石,遂经实验室检查证实。联合甲状腺乳腺外科进行手术。结果:术后患者症状明显缓解,病理检查结果为甲状旁腺增生。泌尿外科遂为患者清除输尿管结石。术后随访2年,未再发结石和骨痛。结论:泌尿外科医师在接诊反复结石患者时应考虑有甲状旁腺机能亢进的可能性;甲状旁腺激素检查有助于临床诊断;多学科团队模式可提高该类患者的诊疗效果。
OBJECTIVE: To summarize the experience of diagnosis and treatment of recurrent urolithiasis caused by hyperplasia of parathyroid gland and to improve urological understanding, analysis and treatment of the disease. Methods: A retrospective analysis of 1 case of patients with recurrent urinary stones caused by parathyroid hyperplasia clinical data: recurrent urinary stones with double upper limb pain more than 10 years, repeated extracorporeal shock wave lithotripsy, ureteroscopic lithotripsy and related Orthopedic treatment, symptom control is not ideal. The detailed history of this visit under consideration by the department for the consultation of patients with hyperparathyroidism caused by urinary stones, then confirmed by laboratory tests. Combined thyroid breast surgery for surgery. Results: The symptoms of postoperative patients were significantly relieved and the pathological findings were hyperplasia of parathyroid glands. Urology then clear the ureteral stones for patients. After 2 years of follow-up, no recurrence of stone and bone pain. CONCLUSIONS: Urologists should consider the possibility of hyperparathyroidism in patients with recurrent calculus; parathyroid hormone tests may be helpful in clinical diagnosis; and multidisciplinary team modalities may improve the diagnosis and treatment of such patients.