Bainbridge E T, Barnes A D
Br J Surg. 1982 Apr;69(4):200-2. doi: 10.1002/bjs.1800690410.
The variable location of the parathyroid glands is a significant factor in unsuccessful cervical exploration for hyperparathyroidism. Particular difficulty may be experienced when an overactive parathyroid is concealed within the substance of the thyroid. Currently available methods of localizing abnormal parathyroid tissue may well fail to indicate an intrathyroid location. The latter possibility should always be considered whenever thorough cervical exploration has failed to reveal a parathyroid tumour as such awareness may obviate re-exploration or an unnecessary sternotomy. This report details the clinical features and operative findings in 6 patients whose primary hyperparathyroidism was due to an overactive intrathyroid parathyroid gland. Successful parathyroid surgery demands a strict routine exploration of the possible sites of overactive glands, virtually all of which are easily accessible through a standard collar incision.
甲状旁腺位置多变是甲状旁腺功能亢进症颈部探查失败的一个重要因素。当一个功能亢进的甲状旁腺隐藏在甲状腺实质内时，可能会遇到特别的困难。目前可用的定位异常甲状旁腺组织的方法很可能无法显示其位于甲状腺内的位置。每当彻底的颈部探查未能发现甲状旁腺肿瘤时，都应始终考虑到后一种可能性，因为这种认识可能避免再次探查或不必要的胸骨切开术。本报告详细介绍了6例原发性甲状旁腺功能亢进症患者的临床特征和手术结果，这些患者的病因是甲状腺内甲状旁腺功能亢进。成功的甲状旁腺手术需要严格按常规探查可能存在功能亢进腺体的部位，实际上所有这些部位通过标准的领口切口都很容易触及。
