| 摘要: |
| ［摘要］ 继发性甲状旁腺功能亢进（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，需要接受甲状旁腺切除术治疗。手术可以明显缓解SHPT患者的骨痛、皮肤瘙痒等症状，改善身心健康，提高生活质量，降低病死率。SHPT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。该文结合国内外文献，对SHPT手术治疗的研究进展作一综述。 |
| 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 |
| DOI：10.3969/j.issn.1674-3806.2021.09.23 |
| 分类号:R 458+.1 |
| 基金项目:广西医疗卫生适宜技术开发与推广应用项目（编号：S2017083） |
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| Research progress in surgical treatment of secondary hyperparathyroidism |
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CHEN Yuan-yuan, LIANG Bin, DONG Xiao-feng, et al.
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Department of Hepatobiliary, Pancreatic and Splenic Surgery, the People′s Hospital of Guangxi Zhuang Autonomous Region, Nanning 530021, China
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| Abstract: |
| ［Abstract］ Secondary hyperparathyroidism(SHPT) is a common complication in patients with end-stage chronic kidney disease, and the incidence of SHPT is relatively high. Patients with advanced SHPT often develop drug resistance and need parathyroidectomy. Surgery can significantly relieve the symptoms of SHPT patients, such as bone pain and skin itching, improve the physical and mental health, improve the quality of life, and reduce the mortality of SHPT patients. The main surgical methods of SHPT include total parathyroidectomy, subtotal parathyroidectomy and total parathyroidectomy+autotransplantation, but there is no consensus on the choice of various surgical methods. This paper reviews the current status of surgical treatment of SHPT through consulting the literature at home and abroad. |
| Key words: Secondary hyperparathyroidism(SHPT) Chronic renal failure Parathyroidectomy |
