期刊文献+
任意字段
题名或关键词
题名
关键词
文摘
作者
第一作者
机构
刊名
分类号
参考文献
作者简介
基金资助
栏目信息

甲状旁腺全切加前臂移植术治疗尿毒症继发性甲状旁腺功能亢进症的疗效 被引量：8

Efficacy of total parathyroidectomy combined with forearm parathyroid autograft in uremic patients with refractory secondary hyperparathyroidism
原文传递
导出
摘要 目的观察甲状旁腺全切加前臂移植术治疗尿毒症继发性甲状旁腺功能亢进症(SHPT)的临床疗效。方法回顾性分析接受甲状旁腺全切加前臂甲状旁腺自体移植的8例尿毒症SHPT患者的临床资料。结果 8例患者均无手术相关并发症,术后症状改善明显。患者术后血全段甲状旁腺素、血钙和血磷均较术前降低(P<0.05)。结论甲状旁腺全切加前臂甲状旁腺自体移植术对难治性尿毒症SHPT患者安全有效。 Objective To observe the clinical efficacy of total parathyroidectomy combined with forearm parathyroid autograft in uremic patients with refractory secondary hyperparathyroidism（SHPT）.Methods The data of 8 uremic patients with SHPT accepted total parathyroidectomy combined with forearm parathyroid autograft were retrospectively analyzed.Results The clinical symptoms after surgery were significantly improved in all 8 cases without operation-related complications.Serum levels of intact parathyroid hormone（iPTH）,blood calcium and phosphorus were significantly lower after surgery than those before（P〈0.05）.Conclusion Total parathyroidectomy combined with forearm parathyroid autograft is effective and safe for the uremic patients with refractory secondary hyperparathyroidism.
作者 周沁 杨晓晨 郁丽霞 熊燕 査小明
机构地区 江苏大学附属昆山市第一人民医院甲状腺乳腺科 江苏大学附属昆山市第一人民医院肾脏病科 南京医科大学附属第一医院乳腺科
出处 《江苏医药》 CAS 2015年第22期2702-2704,共3页 Jiangsu Medical Journal
关键词 继发性甲状旁腺功能亢进症 甲状旁腺移植术 尿毒症 Secondary hyperparathyroidism Parathyroid autograft Uremia
分类号 R653 [医药卫生—外科学]
  • 相关文献

参考文献8

  • 1Goldsmith D,Kothawala P,Chalian A,et al.Systematic review of the evidence underlying the association between mineral metabolism disturbances and risk of fracture and need for parathyroidectomy in CKD[J].Am J Kidney Dis,2009,53(6):1002-1013.
  • 2马迎春,张凌.解读2012年日本成人慢性肾脏病-骨、矿物质代谢异常诊疗指南[J].中国血液净化,2014,13(3):180-184. 被引量：14
  • 3罗洋,张凌,卞维静,刘亚绵,李程,李文歌,谌贻璞.经皮乙醇注射治疗血液透析继发甲状旁腺机能亢进症远期预后研究[J].中日友好医院学报,2007,21(6):333-335. 被引量：10
  • 4Stanbury SW,Lumb GA,Nicholson WF.Elective subtotal parathyroidectomy for renal hyperparathyroidism[J].Lancet,1960,1(7128):793-799.
  • 5Ogg CS.Total parathyroidectomy in treatment of secondary(ranal)hyperparathyroidism[J].Br Med J,1967,4(5575):331-334.
  • 6Kaye M,Rosenthall L,Hill RO,et al.Long-term outcome following total parathyroidectomy in patients with end-stage renal disease[J].Clin Nephrol,1993,39(4):192-197.
  • 7GagnéER,Ure?a P,Leite-Silva S,et al.Short-and long-term efficacy of total parathyroidectomy with immediate autografting compared with subtotal parathyroidectomy in hemodialysis patients[J].J Am Soc Nephrol,1992,3(4):1008-1017.
  • 8Tominaga Y,Uchida K,Haba T,et al.More than 1,000cases of total parathyroidetomy with forearm autograft for renal hyperparathyroidism[J].Am J Kidney Dis,2001,38(4Suppl 1):S168-S171.

二级参考文献25

  • 1Fukagawa M,Nakanishi S,Kazama J.Basie and clinical aspects of parathyroid hyperplasia in chronic kidney disease [J].Kidney Int,2006,70:S3 - 7.
  • 2Shiizaki K,Negi S, Hatamura I,et al.Biochemical and cellular effect of direct maxacalcitol injection into parathyroid gland in uremic rat[J].J Am Soc Nephrol,2005,16:97- 108.
  • 3Solbiati L,Giangrande A,De PraL,et al.Percutaneous ethanol injection of parathyroid tumors under US guidance:treatment for secondary hyperparathyroidisim[J].Radiology,1985,155: 607-610.
  • 4Fukagawa M,Tominaga Y,Kitaoka M,et al.Medical and surgical aspects of parathyroidectomy[J].Kidney Int,2006;70:s65-69.
  • 5Kitaoka M,Fukagawa M,Yi H,et al.Serial evaluation of parathyroid size by ultrasonography is another useful marker for the long-term prognosis of calcitriol pulse therapy in chronic dialysis patient[J].Nephron,2004;68:221- 228.
  • 6Santamaria I,Alvarez-Hernandez D,Jofre R,et al.Pregression of secondary hyperparathyroidism involves degradation of genes related to DNA and RNA stability [J].Kidney Int, 2005,67:2267- 2279.
  • 7Taniguehi M,Tokumoto M,Matsuo D,et al.Parathyroid growth and regression in experimental uremia [J].Kidney Int,2006, 69:464 - 470.
  • 8Fukagawa M,Okazaki R,Takano K,et al.Regression of parathyroid hyperplasia by calcitriol-pulse therapy in patients on long-term dialysis [J].N Engl J Med,2004,323: 421 - 422.
  • 9Olson J,Leight G.Surgical management of secondary hyperparathyroidism [J].Advances in renal replacement therapy, 2002,3:209-218.
  • 10Kitaoka M,Onoda NM,Kitamura H,et al.Percutaneous calcitriol injection therapy (PCIT)for secondary hyperparathyroidism:muhicenter trial[J].Nephrol Dial Transplant,2003,18 (S3): iii38 - iii41.

共引文献22

同被引文献93

引证文献8

二级引证文献26

江苏医药
2015年 第22期

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部