頁籤選單縮合
題名 | Surgical Management of Secondary Hyperparathyroidism in Patients with Chronic Renal Failure=慢性腎衰竭併發續發性副甲狀腺亢進症之手術治療 |
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作者姓名(中文) | 施信嶔; | 書刊名 | 中華民國外科醫學會雜誌 |
卷期 | 20:6 1987.11[民76.11] |
頁次 | 頁514-523 |
分類號 | 416.214 |
關鍵詞 | 慢性腎衰竭; 續發性副甲狀腺亢進症; 手術治療; |
語文 | 英文(English) |
中文摘要 | 十三個慢性腎衰竭的病人併發明顯症狀之續發性副甲狀腺亢進接受十四次前副甲狀腺切除手術。手術之適應症包括骨頭菸痛,軟組織鈣化,病理性骨折及血鈣過高。手術後兩個病人因遺留的副甲狀腺未能在手術中發現而復發,一個病人發生持續性的副甲狀腺過低症。整個手術過程中無死亡或大的併發症。手術後的症狀解除包括有骨頭疼痛、皮膚癢、軟組織鈣化和肌肉無力。十一個病人(百分之八十五)在臨床或X光片上獲得顯著的改善。從我們的結果可以發現到對長期洗腎之病人,有持續續發性副甲狀腺亢進者,手術治療應是安全而且有價值的;尤其是腎臟捐贈者雞以求得或內科治療失敗時。 |
英文摘要 | Thirteen patients with chronic renal failure and symptomatic secondary hyperparathyroidism underwent fourteen parathyroidectomies in the period 1977 to 1986. Indications for operation included bone pain, soft tissue calcification, pathological fracture and hypercalcemia. Two patients had a recurrence because of the missing gland, and one patient developed persistent hypoparathyroidism. There was no operative mortality or major morbidity. Clinical or radiological evidence of improvement were found in eleven patients (85%). The results revealed that surgery is a safe and rewarding procedure in the treatment of secondary hyperparathyroidism, especially when a kidney donor is not readily available for early transplantation, and medical treatment has failed. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。