甲状旁腺切除术在尿毒症继发性甲旁亢伴异位钙化的效果观察

路凌，刘国

（陕西省核工业215 医院，陕西 西安，712000）

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摘要：

目的 探讨甲状旁腺切除术在尿毒症继发性甲旁亢伴异位钙化的临床效果。方法 选取2012年1月至2015年12月在我院住院的尿毒症继发性甲旁亢伴异位钙化患者，其中使用甲状旁腺切除术患者21例为观察组，使用活性维生素D3口服药物治疗的患者42例为对照组，观察两组患者治疗后一个月的治疗效果、术后恢复和术后并发症情况。结果 观察组患者在进行甲状旁腺切除术后一个月，异位钙化治疗效果要好于使用活性维生素D3的对照组（P<0.05），并且观察组治疗后恢复和 并发症情况均优于对照组（P<0.05）。结论 甲状旁腺切除术是治疗尿毒症继发性甲旁亢伴异位钙化安全有效的方法，可以广 泛的应用于临床。

关键词：甲状旁腺切除术；尿毒症；继发性甲旁亢；异位钙化

中图分类号：R692.5 文献标志码：A文章编号：2096-1413(2017)04-0001-04

Effect observation of parathyroidectomy in uremia secondary parathyroid ectopic calcification
LU Ling, LIU Guo
(No. 215 Hospital of Shaanxi Nuclear Industry, Xi'an 712000, China)

ABSTRACT: Objective To explore the clinic effect of parathyroidec tomy in uremia secondary parathyroid ectopic calcification. Methods From January 2012 to December 2015, patients with uremia secondary parathyroid ectopic calcification in our hospital were selected, 21 cases of patients with parathyroid gland resection was classified into the observation group, 42 patients with oral drug therapy of active vitamin D3 were classified into the control group, the clinic effect, postoperative recovery and postoperative complications in the two groups of patients after one month treatment were observed. Results A month after parathyroidectomy ectopic calcification treatment, the effect of the observation group was better than that of the control group （P<0.05）, the recovery and complications after treatment of the observation group were better than the control group （P<0.05）. Conclusion Parathyroid gland resection in the treatment of uremia secondary parathyroid ectopic calcification is safe and effective, which can be widely used in clinical.
KEYWORDS: parathyroidectomy; uremia; secondary hyperthyroidism; ectopic calcification

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