Vague preoperative localization and ectopic parathyroid often lead to the failure of operation in primary hyperparathyroidism. From Jun 1989 to March 1998, 11 cases of primary hyperparathyroidism had been treated surgically in the general surgery department of our hospital. Of them, 10 cases were operated successfully with the pathological diagnosis of adenoma and one parathyroid removed was reported normal. Preoperative localization, the knowledge of ectopic parathyroids, careful exploration during operation and the postoperative medical treatment are important for the perioperative management. Postoperative followup has emphasized to benefit the treatment in primary hyperparathyroidism.
Citation：
Liu Jialin,Zhu Jingqiang,Li Ning,et al.. THE PERIOPERATIVE MANAGEMENT OF PRIMARY HYPERPARATHYROIDISM (REPORT OF 11 CASES). CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 1999, 6(2): 98-100. doi:
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Copyright © the editorial department of CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY of West China Medical Publisher. All rights reserved
| 1. |
蔡伟耀， 曹德生， 顾竹金等. 原发性甲状旁腺功能亢进症64例外科治疗的经验. 中华内分泌代谢杂志， 1991； 7(3)∶147.
|
| 2. |
Tziakouri C, Skannavis S, Eracleous E, et al. Value of ultrasonography, CT and MR imaging in the diagnosis of primary hyperparathyroidism. Acta Radiol, 1996; 37(5)∶720.
|
| 3. |
高硕， 周荫保， 徐家骅. 原发性甲状旁腺功能亢进的核素定位诊断. 中华内分泌代谢杂志， 1996； 12(2)∶93.
|
| 4. |
Bondeson L, Bondeson AG, Nissborg A, et al. Cytopathological variables in parathyroid lesions: a study based on 1 600 cases of hyperparathyroidism. Diagn Cytopathol, 1997; 16(6)∶476.
|
| 5. |
吴万龄， 秦海峰主编. 实用内分泌疾病手册. 第1版. 上海：上海科技教育出版社， 1991∶84～85.
|
| 6. |
沈正荣， 彭淑牖. 甲状旁腺肿瘤的外科处理. 中国实用外科杂志， 1997； 17(2)∶83.
|
| 7. |
Ryan JA, Eisenberg B, Pado KM, et al. Efficacy of selective unilateral exploration in hyperparathyroidism based on localization tests. Arch Surg, 1997; 132(8)∶886.
|
| 8. |
Shen W, Duren M, Morita E, et al. Reoperation for persistent or recurrent primary hyperparathyroidism. Arch Surg, 1996; 131(8)∶861.
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- 1. 蔡伟耀， 曹德生， 顾竹金等. 原发性甲状旁腺功能亢进症64例外科治疗的经验. 中华内分泌代谢杂志， 1991； 7(3)∶147.
- 2. Tziakouri C, Skannavis S, Eracleous E, et al. Value of ultrasonography, CT and MR imaging in the diagnosis of primary hyperparathyroidism. Acta Radiol, 1996; 37(5)∶720.
- 3. 高硕， 周荫保， 徐家骅. 原发性甲状旁腺功能亢进的核素定位诊断. 中华内分泌代谢杂志， 1996； 12(2)∶93.
- 4. Bondeson L, Bondeson AG, Nissborg A, et al. Cytopathological variables in parathyroid lesions: a study based on 1 600 cases of hyperparathyroidism. Diagn Cytopathol, 1997; 16(6)∶476.
- 5. 吴万龄， 秦海峰主编. 实用内分泌疾病手册. 第1版. 上海：上海科技教育出版社， 1991∶84～85.
- 6. 沈正荣， 彭淑牖. 甲状旁腺肿瘤的外科处理. 中国实用外科杂志， 1997； 17(2)∶83.
- 7. Ryan JA, Eisenberg B, Pado KM, et al. Efficacy of selective unilateral exploration in hyperparathyroidism based on localization tests. Arch Surg, 1997; 132(8)∶886.
- 8. Shen W, Duren M, Morita E, et al. Reoperation for persistent or recurrent primary hyperparathyroidism. Arch Surg, 1996; 131(8)∶861.
