Welsh C L, Taylor G W, Cattell W R, Baker L R
Br J Surg. 1984 Aug;71(8):591-2. doi: 10.1002/bjs.1800710808.
In the period 1970-1983, 27 patients with end stage renal failure underwent neck exploration for hyperparathyroidism. In 1977 the operative policy changed from subtotal parathyroidectomy to total parathyroidectomy and autotransplantation. Eight patients underwent subtotal parathyroidectomy while fifteen patients underwent total parathyroidectomy and autotransplantation. All were cured of their symptoms and hypercalcaemia was resolved. There was no significant difference in the requirement for postoperative calcium and vitamin D supplements between the two groups. Recurrent hypercalcaemia developed in one patient who had undergone total parathyroidectomy and autotransplantation. Resolution followed removal of approximately half the transplant. There were four deviations from the operative policy.
在1970年至1983年期间，27例终末期肾衰竭患者因甲状旁腺功能亢进接受了颈部探查手术。1977年，手术策略从甲状旁腺次全切除术改为甲状旁腺全切除术及自体移植术。8例患者接受了甲状旁腺次全切除术，而15例患者接受了甲状旁腺全切除术及自体移植术。所有患者的症状均得到治愈，高钙血症也得以缓解。两组患者术后对钙和维生素D补充剂的需求无显著差异。1例接受甲状旁腺全切除术及自体移植术的患者出现了复发性高钙血症。切除约一半的移植组织后高钙血症得到缓解。有4例手术策略出现偏差。
