Zhu Y
Peking Union Medical College Hospital, Beijing.
Zhonghua Wai Ke Za Zhi. 1993 Oct;31(10):605-8.
In a series of 135 cases of primary hyperparathyroidism encountered in PUMC Hospital. Unilateral exploration was performed in 55 cases including 49 cases single adenoma, 1 double adenomas, 3 cases hyperplasia, 2 carcinoma and one MEN-I case. All the 3 cases of hyperplasia and 1 double adenomas were reoperations. There was only one case failed due to misguided by imaging diagnosis. The overall success rate of unilateral exploration was 98%. The reason of unilateral exploration is that about 80%-85% cases of hyperparathyroidism were caused by single adenoma. For single adenoma, unilateral exploration is enough and reasonable. The authors considered that once the diagnosis was made and preoperative localization has positive findings in experienced surgeon's hand the successful rate was very high, 2% of failure is acceptable. Technique point was discussed for unilateral exploration.
在协和医院收治的135例原发性甲状旁腺功能亢进患者中，55例行单侧探查，其中49例为单发腺瘤，1例为双发腺瘤，3例为增生，2例为癌，1例为多发性内分泌腺瘤I型。3例增生和1例双发腺瘤均行再次手术。仅1例因影像学诊断误导而失败。单侧探查的总体成功率为98%。单侧探查的原因是约80%-85%的甲状旁腺功能亢进病例由单发腺瘤引起。对于单发腺瘤，单侧探查就足够且合理。作者认为，一旦做出诊断且术前定位在经验丰富的外科医生手中有阳性发现，成功率就会很高，2%的失败率是可以接受的。文中还讨论了单侧探查的技术要点。
