頁籤選單縮合
題 名 | Influence of Dialysis Modalities on Patients Undergoing Parathyroidectomy for Renal Hyperparathyroidism |
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作 者 | Ho, Kung-chen; Lee, Jie-jen; Liu, Tsang-pai; Yang, Po-sheng; Cheng, Shih-ping; Ho, Kung-chen; Yang, Po-sheng; Lee, Jie-jen; Liu, Tsang-pai; Cheng, Shih-ping; | 書刊名 | Formosan Journal of Surgery |
卷 期 | 48:5 2015.10[民104.10] |
頁 次 | 頁151-156 |
分類號 | 415.816、415.816 |
關鍵詞 | Dialysis; Hyperparathyroidism; Parathyroidectomy; |
語 文 | 英文(English) |
英文摘要 | Background/Introduction Dialysis modalities may influence parathyroid hormone (PTH) levels and renal osteodystrophy patterns. To date, no study has compared the effects of dialysis modality on surgical patients with renal hyperparathyroidism. Purpose/Aim This study evaluated the influence of different dialysis modalities on perioperative features among patients undergoing parathyroidectomy. Methods Overall, 386 patients who underwent initial parathyroidectomy for renal hyperparathyroidism were recruited. Biochemical data and relevant symptoms were compared between hemodialysis and peritoneal dialysis patients. Results Compared with the hemodialysis patients, the 40 (10%) peritoneal dialysis patients were younger (p = 0.002) and had a shorter duration of dialysis (p < 0.001). The peritoneal dialysis patients had lower hemoglobin (p = 0.006), albumin (p = 0.040), and intact PTH levels (p = 0.039) prior to surgery but had higher serum aluminum levels (p = 0.039). During follow-up, the peritoneal dialysis patients tended to have higher calcium–phosphorus product levels and more severe residual symptoms of bone pain (p = 0.080), mood swings (p = 0.053), and pruritus (p = 0.094). Conclusion Patients on different dialysis modalities had similar decreases in intact PTH and alkaline phosphatase levels after surgery. However, the peritoneal dialysis patients had higher postoperative calcium–phosphorus product levels and more severe residual symptoms. |
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