Dadan J, Malla H
I Kliniki Chirurgii Ogólnej AM w Białymstoku.
Pol Merkur Lekarski. 2000 Nov;9(53):807-9.
Primary hyperparathyroidism is a systemic disease, more and more frequently recognized-concerning 1 to 3% of the population. Statistically appears in 1 of 1000 adults, with significant advantage of women. In Poland every year about 30 new cases are noticed and incidence increases with an age. In spite of significant advance of the knowledge, it still makes a lot of diagnostic troubles. It appears to be non-specific illness, characterised by just one symptom, mainly urolithiasis, sometimes chronic ulcer disease, chronic pancreatitis, arterial hypertension, disorders of the movement or psychic disorders. Parathyroid adenoma which is the main reason of the disease is usually single and small, multiple and bigger ones are found exceptionally. In about 2% of cases they are localized in mediastinum. In the article the basic symptoms, diagnostic and therapeutic problems were shown, especially concerning surgical treatment which is safe, radical and efficacious method when performed by experienced surgical team and the conduct from choice on primary and secondary hyperparathyroidism.
原发性甲状旁腺功能亢进是一种全身性疾病，越来越频繁地被认识到——约占总人口的1%至3%。据统计，每1000名成年人中就有1人患病，女性患病率明显更高。在波兰，每年约发现30例新病例，发病率随年龄增长而上升。尽管在知识方面有了显著进步，但它仍然带来许多诊断难题。它似乎是一种非特异性疾病，仅以一种症状为特征，主要是尿路结石，有时是慢性溃疡病、慢性胰腺炎、动脉高血压、运动障碍或精神障碍。甲状旁腺腺瘤是该疾病的主要原因，通常为单个且较小，极少发现多个且较大的腺瘤。约2%的病例中腺瘤位于纵隔。本文展示了基本症状、诊断和治疗问题，尤其涉及手术治疗，当由经验丰富的手术团队进行时，手术治疗是一种安全、彻底且有效的方法，还介绍了原发性和继发性甲状旁腺功能亢进从选择到治疗的过程。
