美国内分泌外科医师协会《继发性和三发性甲状旁腺功能亢进外科处理指南》解读  

Guidelines interpretation of the American Association of Endocrine Surgeons Guidelines for the Definitive Surgical Management of Secondary and Tertiary Renal Hyperparathyroidism

作　　者：周莉[1,2] 李志辉 ZHOU Li;LI Zhihui(Department of Nephrology,West China Hospital,Sichuan University,Chengdu 610041,P.R.China;The West China MDT of Hyperparathyroidism,West China Hospital,Sichuan University,Chengdu 610041,P.R.China;Department of Thyroid Surgery,West China Hospital,Sichuan University,Chengdu 610041,P.R.China)

机构地区：[1]四川大学华西医院肾内科,成都610041 [2]华西甲状旁腺功能亢进多学科协作组,成都610041 [3]四川大学华西医院甲状腺外科,成都610041

出　　处：《中国普外基础与临床杂志》2023年第2期160-166,共7页Chinese Journal of Bases and Clinics In General Surgery

基　　金：四川大学华西医院学科卓越发展1·3·5工程项目(项目编号:ZYGD18027)。

摘　　要：继发性和三发性甲状旁腺功能亢进是慢性肾脏病患者,特别是终末期肾脏病患者常见的并发症。外科手术是重要的治疗方式之一。美国内分泌外科医师协会《继发性和三发性甲状旁腺功能亢进外科处理指南》是首部循证肾性继发性甲状旁腺功能亢进和三发性甲状旁腺功能亢进的外科手术指南。该指南由继发性和三发性甲状旁腺功能亢进领域的10位专家推荐形成指南,强调为患者提供循证个性化的外科手术治疗。笔者就外科手术指征、影像学检查、术前和围手术期护理、围手术期的相关评估和处理、术中甲状旁腺激素监测等内容进行了解读。Secondary and tertiary hyperparathyroidism are common complications in patients with chronic kidney disease,especially in end stage renal disease.Surgery is an important method for the treatment of secondary and tertiary hyperparathyroidism.The American Association of Endocrine Surgeons Guidelines for the Definitive Surgical Management of Secondary and Tertiary Renal Hyperparathyroidism is the first evidence based guideline focus on renal hyperparathyroidism surgical management.Recommendations using the best available evidence by a panel of 10 experts in secondary and tertiary renal hyperparathyroidism constructed this guideline,which provides evidence-based,individual and optimal surgical management of secondary and tertiary renal hyperparathyroidism.This paper made a guideline interpretation on the indications of surgery,imaging examination,preoperative and perioperative management,relevant evaluation and treatment during perioperative period,and intraoperative parathyroid hormone monitoring during operation,and so on.

关 键 词：《继发性和三发性甲状旁腺功能亢进外科处理的指南》 解读 外科手术 

分 类 号：R653[医药卫生—外科学]