Dotzenrath C, Goretzki P E, Simon D, Witte J, Röher H D
Clinique de Chirurgie Générale et Traumatologique, Université Heinrich Heine, Düsseldorf.
J Chir (Paris). 1995 May;132(5):270-4.
Diagnosis and treatment of primary hyperparathyroidism has changed substantially during recent years. Routine serum calcium measurements and development of specific as well as sensitive PTH assays made primary hyperparathyroidism the most prevalent diagnosis of hypercalcaemia in the normal population. With increasing numbers of asymptomatic patients secondary complications are reduced but the demands made on surgeon's technical skill are much higher. In view of our experience in 329 patients with primary hyperparathyroidism during the last six years and a success rate of 98% we refrain from any localisation technique and advocate visualisation of all four glands.
近年来，原发性甲状旁腺功能亢进症的诊断和治疗发生了重大变化。常规血清钙测量以及特异性和敏感性甲状旁腺激素检测方法的发展，使原发性甲状旁腺功能亢进症成为正常人群中高钙血症最常见的诊断。随着无症状患者数量的增加，继发性并发症减少，但对外科医生技术水平的要求更高。鉴于我们在过去六年中对329例原发性甲状旁腺功能亢进症患者的经验以及98%的成功率，我们不采用任何定位技术，主张对所有四个腺体进行可视化。
