Zhonghua wai ke za zhi [Chinese journal of surgery] · 1998
[Diagnosis and treatment of primary hyperparathyroidism].
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Li Y, He S
Аннотация
OBJECTIVE: To study the diagnosis and treatment of hyperparathyroidism.
METHOD: 37 patients with primary hyperparathyroidism (PHPT) were confirmed pathologically. The course of the disease varied, the longest one being 14 years and the shortest one 3 months.
RESULT: 35 patients had parathyroid adenoma, 1 hyperplasia of parathyroid, and 1 carcinoma of parathyroid. The main clinical manifestation was symmetrical pain of the supporting bones and joints, hypercalcemia, hypercalcinuria, hypophosphatemia, hyper-alkaline phosphatasemia, and increase of iPTH in peripheral blood. X-ray examination showed osteoporosis and decalcification, accompanied with multiple fracture occasionally, we injected (99m)Tc and MiBi into inferior thyroid artery as a demonstration for the diagnosis of tumor of parathyroid.
CONCLUSION: The key procedure of the operation was to search for tumor of parathyroid. We used thymus-thyroid ligament as guide and injected methylene blue into the artery during operation to search thyroid.
METHOD: 37 patients with primary hyperparathyroidism (PHPT) were confirmed pathologically. The course of the disease varied, the longest one being 14 years and the shortest one 3 months.
RESULT: 35 patients had parathyroid adenoma, 1 hyperplasia of parathyroid, and 1 carcinoma of parathyroid. The main clinical manifestation was symmetrical pain of the supporting bones and joints, hypercalcemia, hypercalcinuria, hypophosphatemia, hyper-alkaline phosphatasemia, and increase of iPTH in peripheral blood. X-ray examination showed osteoporosis and decalcification, accompanied with multiple fracture occasionally, we injected (99m)Tc and MiBi into inferior thyroid artery as a demonstration for the diagnosis of tumor of parathyroid.
CONCLUSION: The key procedure of the operation was to search for tumor of parathyroid. We used thymus-thyroid ligament as guide and injected methylene blue into the artery during operation to search thyroid.