Analysis of diagnosis and treatment of 5 cases of parathyroid adenoma
Objective To analyze the genius morbi of 5 patients with parathyroid adenoma(PA)in order to improve clinical diagnosis and treatment ability for this disease.Methods The general data,clinical manifestations,laboratory findings and imaging findings of 5 patients diagnosed with PA from January 2021 to July 2022 were retrospectively analyzed.Results All 5 patients were female,aged 28-67 years.On admission,serum calcium level[(2.92±0.18)mmol/L]increased,serum phosphorus level[(0.73±0.12)mmol/L]decreased,parathyroid hormone(PTH)level[(161.30±68.00)pg/mL]significantly increased,and vitamin D level[(11.00±4.60)μg/L]was deficient.All patients were single parathyroid lesions.Four patients underwent PA resection in our hospital,and PTH and serum calcium were normal after operation.Conclusion Middle-aged and elderly women with dry mouth,fatigue symptoms,combined with multiple urinary calculi,should pay attention to check the blood calcium,and then check whether there is PA;the examination of parathyroid emission computed tomography(ECT)is an effective examination method for the diagnosis of primary hyperparathyroidism.
万方数据
维普
