Problems of different diagnostics of the primary hyperparathyreosis
DOI:
https://doi.org/10.11603/2414-4533.2017.3.8020Keywords:
primary hyperparathyroidism, manifest form, deficiencies of diagnosis.Abstract
The aim of the work: to study the timeliness and quality of diagnosis of primary hyperparathyroidism (PHPT) in the region, to identify deficiencies and to develop measures to improve the diagnostic algorithm.
Materials and Methods. A retrospective analysis of the medical records of 64 patients operated on the basis of the Kryvyi Rih Clinical Hospital on PHPT was conducted. The anamnesis and clinical manifestations of the disease, results of additional examinations (ultrasound, laboratory blood and urine tests, X-ray data of the bone carcass), results of surgical treatment were analyzed.
Results and Discussion. The paper presents a retrospective analysis of diagnostic efficacy in 64 patients operated for primary hyperparathyroidism (PHPT). Malosymptomatic or asymptomatic forms of PHPT were detected in 32.9 % of patients with thyroid gland pathology (thyroid gland). In 43 (67.1 %) patients with visceropathic clinical manifestations of PHPT, its presence was established with additional targeted screening, which was more often conducted in the hospital departments of a clinical hospital during their hospitalization due to complications of the disease. Surgical treatment of PHPT in most cases is performed in manifested its forms, when the formation of invalidating complications. The most frequent manifestations of PHPT are mixed forms with the predominance of bone marrow and kidney lesions. The clinical cases of patients with a delayed diagnosis of manifested forms of PHPT are presented. It is noted that the reason for this provision is the low level of primary link doctors’ knowledge and adjacent specialties in the questions of PHPT diagnostics.
References
Kalinina, A.P. Maystrenko, N.A. & Vetsheva, P.S. (Eds.). (2004). Khirurgicheskaya endokrinologiya: rukovodstvo [Surgical endocrinology: guidance]. St. Petersburg: Peter [in Russian].
Cherenko, S.M. (2011). Pervichnyy giperparatireoz: osnovy patogeneza, diagnostiki i khirurgicheskogo lecheniya: monografiya: monografiya [Primary hyperparathyroidism: the fundamentals of pathogenesis, diagnosis and surgical treatment: monograph]. Kiev [in Russian].
Romanchyshen, A.F. (2009). Khirurgiya shchitividnoy i okoloshchitovidnykh zhelez. [Surgery of the thyroid and parathyroid glands]. St. Petersburg: IPK “Vesti” [in Russian].
Pankiv, V.I. (2013). Giperparatireoz: diagnostika, klinicheskie priznaki i simptomy, sovremennye podkhody k lecheniyu [Hyperparathyroidism: diagnosis, clinical signs and symptoms, modern approaches to treatment]. Mizhnarodnyi endokrynolohichnyi zhurnal – International Endocrinological Journal, (149), 87-98 [in Russian].
Kalinin, A.P., Pavlov, A.V., & Aleksandrov, Yu.K. (2010). Metody vizualizatsii okoloshchitovidnykh zhelez i paratireoidnaya khirurgiya: rukovodtsvo dlya vrachey [Methods for visualization of parathyroid glands and parathyroid surgery: a guide for physicians]. Vidar [in Russian].
Tronko, M.D. (2005). Standarty diahnostyky ta likuvannia endokrynnykh zakhvoriuvan [The standard of diagnosis and treatment of endocrine diseases]. Kyiv: TOV “HIRA” Zdorovia Ukrainy [in Ukrainian].
Zubkova, S.T. (2014). Serdechno-sosudistye zabolevaniya pri zabolevaniy parashchitovidnykh zhelez [Cardiovascular diseases in parathyroid gland diseases]. Zdorovia Ukrainy. Diabetolohiia.
Tyreodolohiia. Metabolichni rozlady – Health of Ukraine. Diabetology. Thyroidology. Metabolic Disorders [in Russian].
Nechai, O.P. (2015). Trudnoshchi vstanovlennia diahnozu pervynnoho hiperparatyreozu [Difficulties in diagnosing of primary hyperparathyroidism]. Ukrainskyi zhurnal dytiachoi endokrynolohii – Ukrainian Journal of Pediatric Endocrinology, (3/4), 82-86 [in Ukrainian].
Downloads
Published
How to Cite
Issue
Section
License
Authors who publish their work in Hospital Surgery. Journal by L. Ya. Kovalchuk agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access)
