Surgical treatment for hyperparathyroidism in 368 patients

VernacularTitle:368例甲状旁腺功能亢进症的外科治疗
Author: Jianyu DONG ; Heng GUAN ; Yu ZHU
Publication Type:Journal Article
Keywords: Hyperparathyroidism; Parathyroidectomy; Parathyroid hormone
From: Chinese Journal of General Surgery 2011;26(4):289-291
CountryChina
Language:Chinese
Abstract: Objective To analyze the surgical treatment and pathological manifestations in patients with hyperparathyroidism. Methods The clinical data of 368 patients undergoing parathyroidectomy with hyperparathyroidism in Peking Union Medical College Hospital between Oct 1974 and Jan 2009 were retrospectively analyzed. Results 368 cases underwent parathyroidectomy. There were 249 women (67.7%) and 119 men (32. 3% ). Parathyroid lesions were located in normal positions in 318 cases (86. 4% ), and in ectopic positions in 50 cases (13.6%). The pathology of 264 cases (71.7%) was adenoma, 91cases (24.7%) was hyperplasia, 11 cases (3.0%) was carcinoma, and two cases was parathyroid cyst. Postoperatively 257 cases (68.0%) presented with hypocalcaemia, and 159 cases (66. 0% ) recovered within 7 days. Conclusions The main pathological diagnosis was adenoma. It is common for a ectopic parathyroid gland in which a parathyroid lesion is located.