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本文报导232例原发性甲状旁腺机能亢进,其中27例除外(原发性甲状旁腺增生25例,甲状旁腺瘤2例),余下205例各有一个肿大的腺体。手术按下列时期分三组进行:一组:1956年至1965年,按作者早期经验对41例病人行常规单纯腺瘤摘除术。二组:1966年至1970年,对62例病人均施行甲状旁腺次全切除术(切除3(1/2)个腺体)。三组:自1970年始,由于二组患者术后出现手足搐搦的发病率明显增加,而行单纯腺瘤摘除者之复发率却未升高,故对102例患者又恢复了同一组的手术方法。
This article reports 232 cases of primary hyperparathyroidism, including 27 cases (primary parathyroid hyperplasia in 25 cases, 2 cases of parathyroid adenoma), and the remaining 205 cases each have an enlarged gland. The surgery was divided into three groups according to the following periods: One group: From 1956 to 1965, 41 patients underwent conventional simple adenoma removal according to the author’s early experience. Group II: From 1966 to 1970, subtotal parathyroidectomy (resection of 3 (1/2) glands) was performed on 62 patients. Three groups: Since the 1970s, the incidence of tetany has increased significantly in the two groups of patients, but the recurrence rate of patients undergoing simple adenoma removal has not increased. Therefore, the same group of surgical procedures was restored in 102 patients. .