Vojvodich S M, Lampe H B
Department of Otolaryngology, University of Western Ontario, Faculty of Medicine, London, Ontario.
J Otolaryngol. 1996 Apr;25(2):126-9.
A 10-year review (1984-1994) of patients undergoing surgical treatment for hyperparathyroidism at St. Joseph's Health Centre in London, Ontario, is presented. The role of preoperative localization is discussed. We review our experience with the various imaging modalities and their usefulness in the surgical decision-making process. Our experiences with the surgical management of both primary and secondary hyperparathyroidism are evaluated. Controversies in parathyroid surgery, unilateral versus bilateral neck exploration for parathyroid adenomas, and autotransplantation versus total parathyroidectomy for secondary hyperparathyroidism are discussed and our approach is explained.
本文呈现了对安大略省伦敦市圣约瑟夫医疗中心1984年至1994年期间接受甲状旁腺功能亢进手术治疗患者的10年回顾。讨论了术前定位的作用。我们回顾了我们在各种成像方式方面的经验及其在手术决策过程中的实用性。评估了我们在原发性和继发性甲状旁腺功能亢进手术管理方面的经验。讨论了甲状旁腺手术中的争议，即甲状旁腺腺瘤的单侧与双侧颈部探查，以及继发性甲状旁腺功能亢进的自体移植与甲状旁腺全切除术，并解释了我们的方法。
