Tibblin S, Bondesson A G, Udén P
Department of Surgery, University of Kuwait, Kuwait.
Eur J Surg. 1991 Feb;157(2):103-7.
Current trends in the surgical treatment of primary hyperparathyroidism due to solitary parathyroid adenoma were evaluated in a questionnaire study. Response was obtained from 53 departments highly active in endocrine surgery in 14 countries (response rate 95%). Intraoperative histologic examination is widely (70%) regarded as necessary, but utilized more in North America and Scandinavia (87%) than elsewhere (45%). Intraoperative fat staining is used in one-third of the departments. Excisional biopsy including one whole gland is preferred by 32% to multiple incisional biopsies. Gross inspection of three normal parathyroid glands without histologic identification is favoured in 21% of the departments, while 31% prefer bilateral exploration and incisional biopsy. When an adenoma is found on the first side to be explored, 17% advocate bilateral exploration with incisional biopsy of all three normal glands, whereas unilateral exploration with excisional or incisional biopsy of the ipsilateral normal gland is preferred by a similar percentage.
一项问卷调查研究评估了因孤立性甲状旁腺腺瘤导致的原发性甲状旁腺功能亢进症外科治疗的当前趋势。来自14个国家53个内分泌外科高度活跃科室的回复（回复率95%）。术中组织学检查被广泛（70%）认为是必要的，但在北美和斯堪的纳维亚地区（87%）比其他地区（45%）使用得更多。三分之一的科室使用术中脂肪染色。32%的科室更倾向于包括一个完整腺体的切除活检，而不是多次切开活检。21%的科室倾向于对三个正常甲状旁腺进行大体检查而不进行组织学鉴定，而31%的科室更喜欢双侧探查和切开活检。当在首次探查的一侧发现腺瘤时，17%的人主张双侧探查并对所有三个正常腺体进行切开活检，而类似比例的人更喜欢对同侧正常腺体进行单侧探查并进行切除或切开活检。
