引用本文: | 陈元元,梁斌,董小锋,姚思扬.继发性甲状旁腺功能亢进症的手术治疗现状[J].中国临床新医学,0,():-. |
| Liang Bin.继发性甲状旁腺功能亢进症的手术治疗现状[J].中国临床新医学,0,():-. |
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摘要: |
继发性甲状旁腺功能亢进症(Secondary hyperparathyroidism,SHPT)是慢性肾脏病终末期患者的常见并发症,发病率较高。晚期SHPT患者常出现耐药现象,需要进行手术治疗。手术可以明显缓解SHPT患者的骨痛、皮肤瘙痒等症状,提高身心健康,改善生活质量,降低疾病相关死亡率。SHPT的手术方式主要包括甲状旁腺全切术、甲状旁腺次全切除术、甲状旁腺全切术+自体移植术等,但对于各种术式的选择目前尚无统一意见。本文综合国内外文献,对SHPT手术治疗的现状进行综述,为临床实践提供参考。 |
关键词: 继发性甲状旁腺功能亢进 慢性肾功能衰竭 甲状旁腺切除术 手术治疗 现状 |
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基金项目:广西医疗卫生适宜技术研究与开发项目(编号S2017083) |
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Current status of surgical treatment of secondary hyperparathyroidism |
Liang Bin
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the People''s Hospital of Guangxi Zhuang Autonomous Region
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Abstract: |
Secondary hyperparathyroidism (SHPT) is a common complication with high incidence in patients with end-stage chronic kidney disease. Patients with advanced SHPT often develop drug resistance and require surgical treatment. Surgery can significantly relieve symptoms such as bone pain and skin itching in SHPT patients. It can also improve physical and mental health, improve quality of life, and reduce disease-related mortality. The mainly surgical methods of SHPT include total parathyroidectomy, subtotal parathyroidectomy, total parathyroidectomy with autotransplantation and so on, but there is no consensus on the choice of various surgical methods. Based on the domestic and foreign literature, this paper summarizes the current status of surgical treatment of SHPT in order to provide reference for clinical practice. |
Key words: secondary hyperparathyroidism chronic renal failure parathyroidectomy surgical treatment current status |