难治性继发性甲状旁腺功能亢进症治疗时机选择

Scheduling of parathyroidectomy for refractory secondary hyperparathyroidism

继发性甲状旁腺功能亢进症是慢性肾脏病患者常见的并发症。以前由于对该病的认识不足,使很多患者进展至难治性继发性甲状旁腺功能亢进,患者表现为骨痛、骨折、骨骼畸形、血管及器官转移性钙化、心瓣膜钙化等。及时、有效的甲状旁腺切除术可以避免多器官的损害,提高慢性肾脏病患者的生活质量。

Secondary hyperparathyroidism （SHPT） has been the most common complication in patients with chronic kidney disease. A large population of patients progressed to refractory SHPT, a disease characterized of osteodynia, bone fracture or deformities, blood vessels, organs metastatic calcification and heart valve calcification, owing to their insufficient awareness. Timely and effective Parathyroidectomy, when underwent in a timely manner, may be effective to improve the quality of life and halt the progression to multiple organ injury.