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目的:评价甲状旁腺切除术对于继发性甲状旁腺功能亢进的临床疗效。方法:对2012年3月~2016年7月期间在我院接受甲状旁腺切除术的82例维持性血液透析合并继发性甲状旁腺功能亢进患者的临床资料进行回顾性分析,对比手术前后的甲状旁腺激素iPTH值,以及血钙(Ca~(2+))、血磷(P~(3-))、碱性磷酸酶(ALP),并评价患者手术前后的生活质量。结果:患者术后iPTH值、Ca~(2+)、P~(3-)、ALP较术前显著下降、症状明显缓解,患者的生活质量显著提高。结论:甲状旁腺切除术可以有效地改善继发性甲状旁腺功能亢进患者临床症状,提高生活质量。
Objective: To evaluate the clinical efficacy of parathyroidectomy for secondary hyperparathyroidism. Methods: The clinical data of 82 patients with maintenance hemodialysis and secondary hyperparathyroidism undergoing parathyroidectomy in our hospital from March 2012 to July 2016 were analyzed retrospectively. (PTH), serum P (P ~ (3-)) and alkaline phosphatase (ALP) were measured and the quality of life before and after operation was evaluated. Results: The postoperative iPTH value, Ca ~ (2 +), P ~ (3 -) and ALP decreased significantly compared with those before operation, and the symptoms were relieved. The quality of life of the patients was significantly improved. Conclusion: Parathyroidectomy can effectively improve the clinical symptoms of patients with secondary hyperparathyroidism and improve the quality of life.