Yarbrough D R
Department of Surgery, Medical University of South Carolina, Charleston 29425, USA.
J S C Med Assoc. 1995 Jul;91(7):295-8.
Primary hyperparathyroidism is being diagnosed with increasing frequency in recent years due to more widespread availability and reliability of the various appropriate diagnostic tests. Except in unusual circumstances patients with documented primary hyperparathyroidism are probably best served by early operation performed by an experienced parathyroid surgeon. Under such circumstances cure rate should approximate 95 percent, with less than a one percent incidence of recurrent laryngeal nerve injury or permanent hypoparathyroidism. The cure rate in the currently reported series of cases was 98 percent with no instances of recurrent laryngeal nerve injury or permanent hypoparathyroidism.
近年来，由于各种合适的诊断测试更为普及且可靠，原发性甲状旁腺功能亢进症的诊断频率越来越高。除特殊情况外，确诊为原发性甲状旁腺功能亢进症的患者，由经验丰富的甲状旁腺外科医生尽早进行手术可能是最佳选择。在这种情况下，治愈率应接近95%，喉返神经损伤或永久性甲状旁腺功能减退的发生率低于1%。在目前报道的一系列病例中，治愈率为98%，无喉返神经损伤或永久性甲状旁腺功能减退的病例。
