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首页> 外文期刊>Hormones: International Journal of Endocrinology and Metabolism >Primary hyperparathyroidism and the road to surgery: appraisal of the proceedings of the four international workshops (1990, 2002, 2008, 2014) on primary hyperparathyroidism
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Primary hyperparathyroidism and the road to surgery: appraisal of the proceedings of the four international workshops (1990, 2002, 2008, 2014) on primary hyperparathyroidism

机译:原发性甲状旁腺功能亢进症和手术之路:评估关于原发性甲状旁腺功能亢进症的四个国际研讨会(1990年,2002年,2008年,2014年)的程序

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摘要

Although surgery is unambiguously recommended for symptomatic primary hyperparathyroidism (PHPT) patients, management options for asymptomatic patients have varied between surgery, medications and follow-up. To deal with this issue, four International Workshops have taken place, in 1990, 2002, 2008 and 2014, during which a team of experts drew up criteria to stratify asymptomatic patients as surgery-eligible and surgery-ineligible. The efficacy of the criteria have however been questioned over the years and the majority of patients, both eligible and ineligible, may eventually have undergone surgery. Nevertheless, the criteria are still in use today and they clearly mirror the course of change in the treatment of PHPT patients.
机译:尽管明确建议有症状的原发性甲状旁腺功能亢进症(PHPT)患者进行手术,但无症状患者的治疗选择在手术,药物治疗和随访之间有所不同。为了解决这个问题,在1990年,2002年,2008年和2014年举办了四次国际研讨会,在此期间,一个专家小组起草了将无症状患者分为符合手术条件和不符合手术条件的患者的标准。然而,这些标准的效力多年来一直受到质疑,大多数合格和不合格的患者最终都可能接受了手术。尽管如此,该标准仍在使用中,并且清楚地反映了PHPT患者治疗的变化过程。

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