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目的:探讨原发性甲旁亢(PHPT)的临床诊治。方法:回顾性分析71例PHPT的临床资料。结果:PHPT患者主要表现为骨骼系统脱钙/双侧泌尿系结石症状,并伴有血钙、血PTH升高和血磷降低;B超、核素扫描检查有助于明确诊断和术前定位;一次手术成功率为90.1%。结论:建议对多发骨骼脱钙/双侧泌尿系结石患者常规行血钙、颈部B超等检查以避免PHPT被误诊;根据术前定位、术中所见及冰冻病理采取具体手术方式是手术取得成功的关键;术后应常规补钙。
Objective: To investigate the clinical diagnosis and treatment of primary hyperparathyroidism (PHPT). Methods: A retrospective analysis of 71 cases of clinical data of PHPT. Results: The patients with PHPT mainly showed decalcification / bilateral urinary calculi symptoms accompanied with elevated serum calcium and serum PTH and decreased serum phosphorus levels. The B-scan and radionuclide scan were helpful to confirm the diagnosis and preoperative localization The successful rate of one operation was 90.1%. Conclusions: It is recommended to check blood calcium and B-neck in patients with multiple bone decalcification / bilateral urinary calculi regularly to avoid misdiagnosis of PHPT. According to the preoperative location, intraoperative and frozen pathology, the specific surgical method is surgery The key to success; postoperative calcium should be routine.