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

作　　者：张凌[1] 闫彩芸[1] 

机构地区：[1]中日友好医院肾内科,北京100029

出　　处：《中国实用内科杂志》2013年第2期131-133,共3页Chinese Journal of Practical Internal Medicine

基　　金：2010年北京市科委首都临床特色应用研究资助项目(D101100050010025)

摘　　要：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.

关 键 词：继发性甲状旁腺功能亢进症 慢性肾脏病 甲状旁腺切除术 甲状旁腺素 

分 类 号：R582.1[医药卫生—内分泌]