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[目的]总结甲状旁腺腺瘤(PTA)的诊治经验。[方法]回顾性分析1998年1月至2008年1月经术后病理学证实的26例PTA的诊治经过。[结果]26例患者血清及血钙甲状旁腺素均有升高,女性较男性好发。超声检查阳性率100%。26例患者均为单发病灶,单侧手术探查成功率100%。26例患者术后均出现不同程度的低血钙症,予静脉补钙3~7d后好转。[结论]PTA定性诊断主要依据为血清及血钙甲状旁腺素升高,超声检查是首选定位诊断方法,定位明确的患者可行单侧手术探查。
[Objective] To summarize the experience of diagnosis and treatment of parathyroid adenoma (PTA). [Method] The diagnosis and treatment of 26 cases of PTA confirmed by postoperative pathology from January 1998 to January 2008 were retrospectively analyzed. [Results] Serum and serum calcium parathyroid hormone levels were elevated in 26 patients, and women were more likely than men. Ultrasound positive rate of 100%. Twenty-six patients were single lesions, and the unilateral surgical exploration success rate was 100%. All 26 patients had different degrees of hypocalcemia postoperatively and were improved after intravenous calcium supplementation for 3-7 days. [Conclusion] The qualitative diagnosis of PTA is based on the elevation of serum and serum calcium parathyroid hormone. Ultrasound examination is the preferred location diagnosis method. A well-defined patient can be unilaterally explored.