Mayor G, Schmucki O
Urologe A. 1982 May;21(3):121-32.
The review of 340 own cases of hyperparathyroidism surgery shows, that only the concentrations of calcium and parathormone in serum are of interest for the diagnosis. Further biochemical analyses and function tests are not specific enough to serve as indicators for hyperparathyroidism and serve only as secondary reinforcements of the diagnosis. There are many methods for the preoperative localisation but only the computer tomography with simultaneously given contrast medium or a refined sonography seem to be reproducible. 94% of the cases are cured by surgery. The further development of urolithiasis is certainly reduced after the successful operation, however, in about one third of the cases with normocalcemia, a recurrent and marked increase in size of the stones present was observed postoperatively. The possibility of such a continuous growth gives reason to observe closely the development of urolithiasis in order to be able to react promptly by means of lithotomy.
对340例甲状旁腺功能亢进症手术病例的回顾显示，血清中钙和甲状旁腺激素的浓度对诊断具有重要意义。进一步的生化分析和功能测试特异性不足，不足以作为甲状旁腺功能亢进症的指标，仅作为诊断的次要辅助手段。术前定位方法有很多种，但只有同时使用造影剂的计算机断层扫描或精细的超声检查似乎具有可重复性。94%的病例通过手术治愈。成功手术后，尿路结石的进一步发展肯定会减少，然而，在大约三分之一血钙正常的病例中，术后观察到已存在的结石复发且明显增大。这种持续生长的可能性使得有必要密切观察尿路结石的发展情况，以便能够通过膀胱切开取石术及时做出反应。
