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20～40％原发性甲旁亢病人有肾结石和肾盂结石。通常原发性甲旁亢和肾结石分别由二次手术治疗,需二次住院,二次全麻。本文报道作者在1980～1989年对22例病人作一次手术探查颈部和去除肾、输尿管结石的结果。甲旁亢:22例中21例为单个腺瘤,1例为甲状旁腺增生。术后无1例切口感染、颈部血肿、喉返神经麻痹或术后持续低血钙症。所有病例血清钙恢复正常,仅1例于2年发生反复高血钙,但再次手术切除另一腺瘤后血钙正常。
20 ~ 40% of patients with primary hyperparathyroidism have kidney stones and renal pelvis. Often primary hyperparathyroidism and kidney stones were treated by the second surgery, requiring secondary hospitalization, secondary general anesthesia. This article reports the results of a surgical exploration of the neck and removal of renal and ureteral stones in 22 patients from 1980 to 1989. Hyperparathyroidism: 21 cases of 22 cases of a single adenoma, 1 case of parathyroid hyperplasia. No incision infection, neck hematoma, recurrent laryngeal nerve paralysis or postoperative persistent hypocalcemia. Serum calcium returned to normal in all cases, only 1 case repeated hypercalcemia in 2 years, but after another surgical resection of another adenoma serum calcium.