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中华肾病研究电子杂志 ›› 2022, Vol. 11 ›› Issue (05) : 281 -284. doi: 10.3877/cma.j.issn.2095-3216.2022.05.007

综述

继发性甲状旁腺功能亢进的治疗研究进展
刘文1, 罗丹1, 代小雨1, 鲜于剑波1, 于颖娟1, 钟春林1, 王东1,()   
  1. 1. 621000 绵阳市中心医院普通外科
  • 收稿日期:2022-02-23 出版日期:2022-10-28
  • 通信作者: 王东

Progress in the research on the treatment of secondary hyperparathyroidism

Wen Liu1, Dan Luo1, Xiaoyu Dai1, Jianbo Xianyu1, Yingjuan Yu1, Chunlin Zhong1, Dong Wang1,()   

  1. 1. Department of General Surgery, Mianyang Central Hospital, Mianyang 621000, Sichuan Province, China
  • Received:2022-02-23 Published:2022-10-28
  • Corresponding author: Dong Wang
引用本文:

刘文, 罗丹, 代小雨, 鲜于剑波, 于颖娟, 钟春林, 王东. 继发性甲状旁腺功能亢进的治疗研究进展[J]. 中华肾病研究电子杂志, 2022, 11(05): 281-284.

Wen Liu, Dan Luo, Xiaoyu Dai, Jianbo Xianyu, Yingjuan Yu, Chunlin Zhong, Dong Wang. Progress in the research on the treatment of secondary hyperparathyroidism[J]. Chinese Journal of Kidney Disease Investigation(Electronic Edition), 2022, 11(05): 281-284.

继发性甲状旁腺功能亢进(SHPT)是晚期慢性肾病患者中最常见的并发症之一,患者体内的高水平甲状旁腺激素会引起骨骼异常和血管钙化、增加心血管事件的发生率。目前SHPT的治疗方法有药物治疗、介入治疗、传统手术治疗等。本文对SHPT治疗的研究进展作一综述,旨在为临床选择SHPT治疗方式提供参考。

Secondary hyperparathyroidism (SHPT) is one of the most common complications in patients with advanced chronic kidney disease. High levels of parathyroid hormone in the patients can cause bone abnormalities and vascular calcification, and increase the incidence of cardiovascular events. At present, SHPT can be treated by drug therapy, interventional therapy, and traditional surgery, etc. This article reviewed the progress of research on treatment of SHPT so as to provide reference for clinical selection of therapies for SHPT.

图2 继发性甲状旁腺功能亢进的治疗方式注:SHPT:继发性甲状旁腺功能亢进;PEIT:percutaneous ethanol injection therapy,经皮乙醇注射疗法;RFA:radio-frequency ablation,射频消融;LA:laser ablation,激光消融;sPTX:subtotal parathyroidectomy,甲状旁腺次全切除术;tPTX:total parathyroidectomy,全甲状旁腺切除术;tPTX+AT:tPTX plus autotransplantation,全甲状旁腺切除术加自体移植术
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