首页|原发性甲状旁腺功能亢进症的全方位和全周期管理

原发性甲状旁腺功能亢进症的全方位和全周期管理

All-round and full-cycle management of primary hyperparathyroidism

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原发性甲状旁腺功能亢进症(简称"原发性甲旁亢")作为有大量潜在人群、部分非原发、早期可防可治和术后需长期随访的疾病,应对其开展"全方位、全周期"健康管理.加强其病因预防、早发现早诊断早治疗、多学科规范化诊疗和术后科学管理,开展"12+5+1"多学科联合诊疗和"双向转诊"模式,逐渐从以疾病为核心的诊疗模式转变为以患者为中心的全方位、全周期跨学科管理模式,可减少原发性甲旁亢的发生率、复发率及其相关骨质疏松或骨量下降、骨折、肾结石、转移性血管钙化和全身异常迁徙性钙质沉着,提高患者的生存质量和改善预后.
Primary hyperparathyroidism is a disease with a large potential population.Some cases of prima-ry hyperparathyroidism are non-primary,preventable and curable at early stage,requiring long-term follow-up after surgery.Therefore,all-round and full-cycle management are necessary for primary hyperparathyroidism,which in-volves an enhancing focus on etiological prevention,early detection,prompt diagnosis,timely intervention,multi-disciplinary standardized diagnosis and treatment,and postoperative scientific management.Meanwhile,imple-menting a"12+5+1"multidisciplinary joint diagnosis and treatment model,along with a two-way referral model,to achieve the transition from a disease-oriented diagnostic and treatment model to a patient-oriented,all-round and full-cycle interdisciplinary management model.This management can reduce the incidence and recurrence rate of pri-mary hyperparathyroidism,and related osteoporosis or osteopenia,fractures,nephrolithiasis,metastatic vascular calci-fication,and systemic abnormal migratory calcium deposits,improve the overall quality of life and prognosis of patients.

Primary hyperparathyroidismAll-round and full-cycle managementMulti-disciplinary diagnosis and treatment modelTwo-way referral

孔令泉、屈秀泉、母力元、李凡、厉红元、任国胜、吴凯南

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重庆医科大学附属第一医院乳腺甲状腺外科,重庆 400016

原发性甲状旁腺功能亢进症 全方位、全周期管理 多学科诊疗模式 双向转诊

2024

中华内分泌外科杂志
中华医学会

中华内分泌外科杂志

CSTPCD
影响因子:0.657
ISSN:1674-6090
年,卷(期):2024.18(1)
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