中国现代手术学杂志2017，Vol.21Issue(1)：1-4,4.DOI:10.16260/j.cnki.1009-2188.2017.01.001
甲状旁腺全切加前臂自体移植术治疗继发性甲状旁腺功能亢进
Clinical Effec of Total Parathyroidectomy and Parathyroid Autotransplatation in the Treatment of Secondary Hyperparathyroidism
摘要
Abstract
Objective To evaluate the clinical efficacy of total parathyroidectomy and parathyroid autotransplatation in the treatment of secondary hyperparathyroidism.Methods Clinical material of 16 cases of secondary hyperparathyroidism were collected and total parathyroidectomy and parathyroid autotransplatation orearm auto-transplantation were performed.The serum level of iPTH,calcium,phosphorus and the numeric pain intensity scale (NPIS) were evaluated before surgery,after glands removal,1 day,7 days and 4 weeks after surgery.The imaging examination before surgery and pathological examination after surgery were also collected.Results The total parathyroidectomy and parathyroid autotransplatation were completed in 13 cases (81.25％).There was significant decrease of the serum level of iPTH,calcium,phosphorus and NPIS (P ＜ 0.05 or P ＜ 0.01).The improvement of symptoms were remarkable effective (81.3 ％),effective (12.5％) and ineffective (6.25％) respectively.Conclusion The total parathyroidectomy and parathyroid auto-transplatation is an effective operation for the treatment of secondary hyperparathyroidism with low risk.The symptoms and biochemical parameters can be improved significantly.关键词
继发性甲状旁腺功能亢进症/甲状旁腺全切术/甲状旁腺自体移植/甲状旁腺激素Key words
secondary hyperparathyroidism/total parathyroidectomy/parathyroid autotransplatation/parathyroid hormone分类
医药卫生引用本文复制引用
李可,周宇帆,胡宪明..甲状旁腺全切加前臂自体移植术治疗继发性甲状旁腺功能亢进[J].中国现代手术学杂志,2017,21(1):1-4,4.
