临床荟萃 ›› 2022, Vol. 37 ›› Issue (7): 648-652.doi: 10.3969/j.issn.1004-583X.2022.07.013
收稿日期:
2022-03-07
出版日期:
2022-07-20
发布日期:
2022-08-30
通讯作者:
李伟
E-mail:liwei1965@126.com
Received:
2022-03-07
Online:
2022-07-20
Published:
2022-08-30
摘要:
无症状型甲状旁腺功能亢进症(asymptomatic primary hyperparathyroidism, aPHPT)在欧美国家十分常见, 在我国的占比也逐年增多。aPHPT主要通过血钙筛查和颈部超声被意外检出, 其定义比较紊乱, 对于“无症状”具有不同的表述, 共同的特点是虽然没有明确的临床症状和体征, 但靶器官的受累还是存在的, 疾病处于隐匿进展中。aPHPT定义需要被明确, 也需要更好地进行分类管理。目前手术是aPHPT唯一的根治方法, 可以消除疾病进展的潜在风险。但对于靶器官受累不明确的患者手术获益能否超过其风险需要被进一步评估, 需要更多前瞻性随机对照试验来提供证据。
中图分类号:
钟鸣, 李伟. 无症状型甲状旁腺功能亢进症的诊治进展[J]. 临床荟萃, 2022, 37(7): 648-652.
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