Chapuis Y, Icard P, Fulla Y, Nonnenmacher L, Bonnichon P, Richard B
Clinique chirurgicale, Hôpital Cochin, Paris.
Presse Med. 1991 Nov 30;20(41):2090-4.
Primary hyperparathyroidism caused by an adenoma that has been identified and localized by ultrasonography can be treated through a limited approach route, under local anaesthesia, provided the effect of excision is controlled by a perioperative assay of urinary cAMP or, preferably, of plasma parathormone level, and provided the contra-indications of this method are respected. Thirty-three out of 35 patients have been successfully operated upon by this method. In case of failure confirmed by laboratory tests, local anaesthesia was only a prelude to cervicotomy under general anaesthesia.
由腺瘤引起的原发性甲状旁腺功能亢进症，若已通过超声检查得以识别和定位，在局部麻醉下可采用有限入路途径进行治疗，前提是切除效果通过围手术期检测尿环磷酸腺苷（cAMP），或者更理想的是检测血浆甲状旁腺激素水平来控制，并且要遵循该方法的禁忌症。35例患者中有33例通过此方法成功进行了手术。若实验室检查证实手术失败，局部麻醉仅作为全身麻醉下行颈部切开术的前奏。
