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目的 探讨尿毒症肾性骨病继发甲状旁腺腺瘤的诊治方法、疗效及预后。方法 比较罗钙全冲击治疗、甲状旁腺腺瘤切除术两种治疗方式的疗效及预后。结果 罗钙全冲击治疗后 ,患者病情反而加重 ;未行正规治疗 ,疾病进展至晚期或钙化防御者 ,不可逆转 ;行甲状旁腺腺瘤切除术者 ,短期效果良好。结论 甲状旁腺功能亢进应强调早期诊断 ,治疗方案要个体化、正规化。治疗上 ,罗钙全等活性维生素D3 冲击治疗效果不佳 ,甲状旁腺腺瘤切除术短期效果明显 ,且理论上不会导致甲状旁腺功能低下 ,是一种有选择价值的治疗方法
Objective To investigate the diagnosis, treatment and prognosis of patients with uremic nephropathy secondary to parathyroid adenoma. Methods To compare the efficacy and prognosis of two treatments of Luo calcium total impact and parathyroid adenoma resection. Results Luo calcium full impact treatment, the patient’s condition worsened; no formal treatment, disease progression to advanced or calcification defender, irreversible; line parathyroid adenoma resection, short-term effect is good. Conclusion Hyperparathyroidism should be emphasized early diagnosis and treatment programs should be individualized and regularized. Treatment, Luo calcium equal activity of vitamin D3 impact of treatment is not good, short-term effect of parathyroid adenoma resection is obvious, and theoretically does not cause hypoparathyroidism, is a selective treatment