外科理论与实践 ›› 2023, Vol. 28 ›› Issue (06): 568-573.doi: 10.16139/j.1007-9610.2023.06.14
王强, 查斯洛 综述, 张伟 审校
收稿日期:
2022-04-16
出版日期:
2023-11-25
发布日期:
2024-03-04
基金资助:
WANG Qiang, ZHA Siluo, ZHANG Wei
Received:
2022-04-16
Online:
2023-11-25
Published:
2024-03-04
摘要:
继发性甲状旁腺功能亢进症是长期透析病人的常见并发症之一。虽然可以选择拟钙剂、维生素D类似物等药物内科治疗方案,但对于药物治疗反应较差的难治性病人仍可选择甲状旁腺切除术作为治疗手段。目前相关术式包括甲状旁腺次全切除术、甲状旁腺全切除术、甲状旁腺全切除术联合自体移植和甲状旁腺肃清术。由于本病是透析病人体内钙磷和维生素D代谢紊乱刺激甲状旁腺增生所致,因此手术切除甲状旁腺的临床目标参数具有一定的不可控性,外科治疗策略也存在争议。但随着临床数据的积累、新观念的涌现和新技术的更新,合理的药物选择和恰当的手术干预将进一步提升治疗效果和安全性。
中图分类号:
王强, 查斯洛, 张伟. 甲状旁腺切除术治疗继发性甲状旁腺功能亢进症的争议与进展[J]. 外科理论与实践, 2023, 28(06): 568-573.
WANG Qiang, ZHA Siluo, ZHANG Wei. Controversy and progress in parathyroidectomy for the treatment of secondary hyperparathyroidism[J]. Journal of Surgery Concepts & Practice, 2023, 28(06): 568-573.
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