Paloyan E, Lawrence A M, Oslapas R, Ernst K, Ahearn M B, Bellar B
J Surg Oncol. 1981;16(3):289-93. doi: 10.1002/jso.2930160314.
Subtotal parathyroidectomy was performed in 52 consecutive patients with primary hyperparathyroidism. The postoperative results, 6-24 months following the operation, were evaluated according to a calcium-parathormone normogram. In 48 patients the values returned to the normal zone. Two patients had persistent hypercalcemia. The other two patients remained in the hyperparathyroid zone of the normogram, with moderate elevations of serum parathormone, in spite of normocalcemia. The significance of the failure to achieve normal circulating parathormone levels in patients with postoperative eucalcemia is discussed. The importance of serum parathormone and calcium relationship in the evaluation of patients following parathyroidectomy is emphasized.
对52例连续性原发性甲状旁腺功能亢进患者实施了甲状旁腺次全切除术。根据钙-甲状旁腺素正常图谱评估术后6至24个月的结果。48例患者的值恢复至正常范围。2例患者持续存在高钙血症。另外2例患者尽管血钙正常，但仍处于正常图谱的甲状旁腺功能亢进区域，血清甲状旁腺素中度升高。讨论了术后血钙正常的患者未能使循环甲状旁腺素水平恢复正常的意义。强调了血清甲状旁腺素与钙的关系在甲状旁腺切除术后患者评估中的重要性。
