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继发性甲状旁腺功能亢进(Secondary Hyperparathyroidism,SHPT)是慢性肾脏病-矿物质骨代谢紊乱(Chronic Kidney Disease-Mineral and Bone Disorder,CKD-MBD)的常见并发症,本文报告一例严重SHPT伴狮面脸(Uremic Leontiasis Ossea,ULO)、鸡胸、血管钙化、自发性骨折、弓型腿的维持性血透患者,分析甲状旁腺全切除(Parathyroidectomy,PTX)的疗效.