van Heerden J A, Grant C S
Department of Surgery, Mayo Clinic, Rochester, Minnesota 55905.
World J Surg. 1991 Nov-Dec;15(6):688-92. doi: 10.1007/BF01665301.
Three hundred and eighty-four consecutive patients with primary hyperparathyroidism (HPT) were surgically treated at a single institution during the 2 year period 1983 through 1984. Two patients were found to have benign familial hypocalciuric hypercalcemia and a single patient had parathyroid carcinoma. In the remaining 379 patients, the cure rate was 99.5%, the operative mortality 0.3%, persistent vocal cord paralysis 0.8%, and permanent hypocalcemia 0.3%. This data supports a liberal policy regarding cervical exploration in patients with HPT and questions any policy of observation without surgical intervention.
在1983年至1984年的两年期间，一家机构对384例连续性原发性甲状旁腺功能亢进症（HPT）患者进行了手术治疗。发现2例患有良性家族性低钙血症性高钙血症，1例患有甲状旁腺癌。在其余379例患者中，治愈率为99.5%，手术死亡率为0.3%，持续性声带麻痹为0.8%，永久性低钙血症为0.3%。该数据支持对HPT患者进行颈部探查的宽松政策，并对任何不进行手术干预的观察政策提出质疑。
