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药物治疗无效的尿毒症继发性甲状旁腺功能亢进患者,可行甲状旁腺全切术,缓解患者的溶骨破坏。术中彻底切除双侧甲状旁腺是手术成功的关键。中南大学湘雅三医院对2例继发性甲旁亢患者施行甲状旁腺全切术,术中采用纳米碳混悬注射液负显影标记技术,找到全部4个增生的甲状旁腺,术后疗效满意,患者甲状旁腺激素均显著降低,骨痛、瘙痒临床症状缓解消失。在尿毒症继发性甲旁亢行甲状旁腺全切术中,采用纳米碳混悬注射液负显影技术,有利于良好地显露和切除双侧甲状旁腺,有利于保护正常甲状腺和喉返神经,值得推广。
Drug treatment is invalid in patients with secondary hyperparathyroidism uremia, viable parathyroid total resection, ease the patient’s osteolytic destruction. Thorough resection of bilateral parathyroid surgery is the key to successful operation. Central Plains Medical University, Xiangya Third Hospital, 2 cases of secondary hyperparathyroidism patients underwent parathyroid gastrectomy, intraoperative use of nano-carbon suspension injection of negative imaging technology to find all 4 hyperplasia of the parathyroid glands, postoperative Satisfactory efficacy, patients with parathyroid hormone were significantly lower, bone pain, itching and relieve the clinical symptoms. Secondary hyperparathyroidism in urethral parathyroid total hysterectomy, the use of nano-carbon suspension injection of negative imaging technology is conducive to the proper disclosure and removal of bilateral parathyroid, is conducive to the protection of normal thyroid and laryngeal back Nerve, worth promoting.