Rafferty M A, Hill A D, Zbar A P, Shering S G, Lucey M, McDermott E W, O'Higgins N J
Department of Surgery, St Vincent's Hospital, Dublin.
Ir Med J. 1997 Aug-Sep;90(5):188-9.
Parathyroidectomy should be considered in every patient with hypercalcaemia and primary hyperparathyroidism even if the symptoms are vague. Cervical exploration is a safe operation with very satisfactory results. Our experience in 214 patients over 25 years shows permanent postoperative normocalcaemia in 95% of cases with a complication rate of 2.8%. All patients with primary HPT, regardless of age or the severity of symptoms should be candidates for cervical exploration.
对于每一位高钙血症和原发性甲状旁腺功能亢进的患者,即使症状不明显,也应考虑进行甲状旁腺切除术。颈部探查是一种安全的手术,效果非常令人满意。我们在25年里对214例患者的经验表明,95%的病例术后血钙恢复正常,并发症发生率为2.8%。所有原发性甲状旁腺功能亢进的患者,无论年龄或症状严重程度如何,都应是颈部探查的候选对象。