论文部分内容阅读
原发性甲状旁腺机能亢进症(甲旁亢),早期症状少具特异性,易被漏诊和误诊.现将我院收治、并经手术和病理证实的原发性甲旁亢20例误诊问题、分析报道如下. 临床资料男8例,女12例。年龄15～45岁,≤30岁者12例(60%),≤40岁者18例(90%).病程1月～15年,≤3年者10例(50%),≤5年者15例(75%).经手术和病理证实:腺瘤14例(70%),增生5例(25%),腺癌1例(5%). 临床表现以骨骼症状最为突出,有骨痛者19例,身高变矮和脊柱后突畸形各3例,胸廓呈佝偻病样畸形2例.泌尿系统症状:多饮、多尿8例,
Primary hyperparathyroidism (hyperparathyroidism), early symptoms less specific, easily missed and misdiagnosed. Now admitted to our hospital, and confirmed by surgery and pathology 20 cases of primary hyperparathyroidism misdiagnosed Problems, analysis reports are as follows: Clinical data of 8 males and 12 females. Aged 15 to 45 years, 12 (60%) ≤30 years old, 18 cases (90%) ≤40 years old. The course of disease ranged from 1 month to 15 years, 10 cases (≤50%) ≤5 years Fifteen cases (75%) were confirmed by operation and pathology: adenoma in 14 cases (70%), hyperplasia in 5 cases (25%) and adenocarcinoma in 1 case (5%). The clinical manifestations were skeletal symptoms with bone pain 19 cases, shortening height and kyphosis deformity in 3 cases, thorax was rickets-like deformity in 2. Urinary symptoms: polydipsia, polyuria in 8 cases,