Maruani G, Cornière N, Nicolet L, Baron S, Courbebaisse M, Renaud S, Houillier P
Département de physiologie, hôpital européen Georges-Pompidou, Assistance publique-Hôpitaux de Paris, 20, rue Leblanc, 75015 Paris, France; Inserm UMR S 845, centre de recherche, université Paris-Descartes, 75015 Paris, France.
Rev Med Interne. 2013 Oct;34(10):605-13. doi: 10.1016/j.revmed.2012.10.369. Epub 2012 Nov 26.
For the past 40 years, primary hyperparathyroidism has been recognized as a common endocrine disease which is, most often, "non-symptomatic", without the occurrence of nephrolithiasis or osteitis fibrosa cystica. Our knowledge in the pathophysiology has increased largely and diagnosis of primary hyperparathyroidism is usually easy. The only radical treatment is surgery and the surgical indications have been codified by several consensus conferences. For patients who do not undergo surgery, prolonged medical monitoring is needed.
在过去40年里,原发性甲状旁腺功能亢进症一直被认为是一种常见的内分泌疾病,通常为“无症状性”,不会发生肾结石或纤维囊性骨炎。我们对其病理生理学的认识有了很大提高,原发性甲状旁腺功能亢进症的诊断通常很容易。唯一的根治方法是手术,手术指征已由多次共识会议进行了规范。对于未接受手术的患者,需要进行长期的医学监测。