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目的:探讨颈部单侧手术探查治疗甲状旁腺腺瘤的可行性。方法:回顾性分析56例甲状旁腺腺瘤患者的临床资料,对术前影像学定位和术中单侧探查手术方式进行分析。结果:术前行超声、CT、99mTc-MIBI核素扫描定位检查,56例甲状旁腺腺瘤单侧手术探查均获成功,临床治疗效果好。术后均经病理学检查确诊为甲状旁腺腺瘤。结论:B超可作为术中定位首选方法。对定位准确的单发腺瘤,单侧小切口探查术创伤小,是值得推广的手术方法。
Objective: To explore the feasibility of single neck surgical exploration of parathyroid adenoma. Methods: The clinical data of 56 patients with parathyroid adenoma were retrospectively analyzed. The preoperative imaging and intraoperative unilateral exploration were analyzed. Results: Preoperative ultrasound, CT, 99mTc-MIBI radionuclide scintigraphy examination, 56 cases of parathyroid adenoma unilateral surgeries were successful, clinical treatment effect is good. Postoperative pathological examination confirmed parathyroid adenoma. Conclusion: B ultrasound can be used as the preferred method of intraoperative localization. The accurate positioning of single adenoma, unilateral small incision exploration trauma, is worth promoting the surgical method.