Bainbridge E T, Barnes A D
Ann R Coll Surg Engl. 1983 Mar;65(2):67-70.
Ninety eight patients who underwent cervical exploration for primary hyperparathyroidism are reviewed. The detection of this condition in increasing numbers of patients, particularly those with minimal or no symptoms is confirmed. Initial exploration was successful in 92 cases using visual localisation with immediate frozen section examination of any presumed parathyroid tissue. The high incidence of solitary adenomata (84%) and low rate of recurrent hypercalcaemia support a "conservative" surgical approach as opposed to routine sub-total parathyroidectomy. The most common complication of surgery was hypocalcaemia, which is preventable by avoiding routine exhaustive exploration for, and unnecessary biopsy of, normal glands.
回顾了98例因原发性甲状旁腺功能亢进症接受颈部探查的患者。越来越多的患者被诊断出患有这种疾病，尤其是那些症状轻微或无症状的患者。92例患者通过视觉定位并对任何疑似甲状旁腺组织进行即时冰冻切片检查，首次探查成功。孤立性腺瘤的高发病率（84%）和复发性高钙血症的低发生率支持采用“保守”手术方法，而非常规次全甲状旁腺切除术。手术最常见的并发症是低钙血症，通过避免对正常腺体进行常规的彻底探查和不必要的活检可以预防。
