摘要
目的:探讨尿毒症继发甲状旁腺功能亢进的术前定性、定位诊断及手术治疗策略。方法:对16例尿毒症继发甲状旁腺功能亢进患者的临床资料进行总结分析。结果:除血红蛋白外,PTH、血钙、血磷、钙磷乘积术后1 d及1周呈下降趋势,术后1个月及半年后在正常范围内,随访半年,患者骨痛症状减轻,皮肤瘙痒减轻。结论:甲状旁腺次全切除对患者术后症状及实验室检查有明显的改善。
Objective: To investigate the preoperative diagnosis and surgical treatment strategy of hyperparathyroidism secondary to uremia. Methods: Summarize and analyze the diagnosis and treatment of 16 cases of hyperparathyroidism secondary to uremia with subtotal parathy roidectomy. Results: The mean level of PTH, serum calcium, phosphorus and calcium-phosphorus product was decreased after operation and maintained the normal range in the following 6 months, and the bone pain and skin itching of patients has been improved half a year later. Conclusion: Determination of PTH and parathyroid ultrasonographic has guiding effect to the surgery operation,and the symptoms of patients with SHPT can be improved through SPTX.
出处
《中国现代普通外科进展》
CAS
2016年第10期765-768,共4页
Chinese Journal of Current Advances in General Surgery
基金
上海市金山区科学技术创新资金项目(2014-3-27)
上海市金山区医疗卫生学科建设基金项目(JSZK2015B06)