Barnes A D
Ann R Coll Surg Engl. 1984 Mar;66(2):77-80.
This paper describes some of the earlier experiences of parathyroid disease in Birmingham. It goes on to describe the experience of the disease in patients with and without renal failure treated by one surgeon over the past decade. It should be read in conjunction with a previous publication in the Annals (3). A careful neck exploration by a surgeon experienced in parathyroidectomy gives a high (92.3%) cure of all comers with primary hyperparathyroidism. The majority of failures are cases with familial disease. The surgical treatment of secondary hyperparathroidism in renal failure is more controversial. The author's preference for total parathyroidectomy and autotransplantation is explained.
本文描述了伯明翰市甲状旁腺疾病的一些早期治疗经验。接着阐述了过去十年中，同一位外科医生对患有和未患肾衰竭的甲状旁腺疾病患者的治疗经验。本文应与之前发表在《 Annals》上的一篇文章（3）一并阅读。经验丰富的甲状旁腺切除外科医生进行仔细的颈部探查，能使所有原发性甲状旁腺功能亢进患者获得较高的治愈率（92.3%）。大多数治疗失败的病例都属于家族性疾病。肾衰竭继发性甲状旁腺功能亢进的外科治疗更具争议性。文中解释了作者对甲状旁腺全切及自体移植的偏好。
