[摘要] 目的 比较小切口直视下手术切除和传统双侧颈部探查术治疗原发性甲状旁腺功能亢进症(简称甲旁亢)的优缺点。方法 总结近5年8例原发性甲旁亢患者的手术治疗情况，分析治疗原发性甲旁亢的传统手术方式与小切口直视下切除术的特点。结果 8例原发性甲旁亢患者，术前明确定位，5例行双侧颈部探查，3例行小切口直视下切除。小切口直视下切除术，手术时间更短、费用低，可在局麻下完成。两组并发症无差异。结论 99mTc-MIBI结合CT、B超、MRI可定位甲状旁腺腺瘤。诊断定位明确的单个甲状旁腺腺瘤行小切口直视下切除术是可行的，完全可以代替传统的颈部探查术。

    [关键词] 原发性甲状旁腺功能亢进；甲状旁腺腺瘤；诊断；手术治疗

    Comparison of minimal operation and traditional exploring operation for primary hyperparathyroidism

    SHI Lan,CHENG Bo,LIU Chun-ping,et al.Department of General Surgery,Union Hospital,Huazhong University of Science and Technology,Wuhan 430022,China

    [Abstract] Objective To compare minimal operation and conventional neck exploration treatment for primary hyperparathyroidism and find its differences.Methods Eight cases of primary hyperparathyroidism and parathyroid adenoma for latest 5 years were retrospectively analyzed.Results Eight patients had parathyroid adenomas successfully localized and resected.Five cases use conventional neck exploration and 3 cases use minimal operation.Conclusion 99mTc-MIBI complemented with CT,MRI and ultrasonography can localize the parathyroid adenomas.Preoperative precise localization of parathyroid adenomas ensure a successful excision of minimal operation,which can take the place of the conventional neck exploration. ......