首页> 中文期刊> 《中国继续医学教育》 >尿毒症不同程度异位钙化患者行甲状旁腺切除手术的疗效比较

尿毒症不同程度异位钙化患者行甲状旁腺切除手术的疗效比较

         

摘要

Objective To investigate the comparison of efifcacy of ectopic calciifcation in uremic patients with varying degrees of parathyroid surgery. Method 40 cases of varying degrees of ectopic calciifcation in uremic row parathyroidectomy were enrolled in January 2010 to February 2015 in our hospital, according to whether the cardiovascular imaging system is divided into A group calcification (without calcification) and group B (calciifed). Compare the two groups of patients in preoperative and postoperative spontaneous fractures, bone pain, itching and occurrence of complications. ResultThe two groups of patients surgical success rate difference was not statistically signiifcant (P> 0.05). Preoperative fractures, bone pain and pruritus incidence in group A were lower than in the control group [7.69% ratio 40.74%,15.38% higher than 55.56%, 23.08% higher than 62.96%,P<0.05], postoperative difference was not statistically significance (P>0.05). Hypocalcemia postoperative complication rate higher than group A group B [37.04% vs. 7.69%, P<0.05].Conclusion Different degree of calciifcation in uremic patients parathyroidectomy could get a significant effect, but the extent of cardiovascular calciifcation in patients alleviate more stable.%目的:探讨尿毒症不同程度异位钙化患者行甲状旁腺切除手术疗效比较。方法选取2010年1月~2015年2月我院收治尿毒症不同程度异位钙化行甲状旁腺切除术患者40例为研究对象,根据影像学检查是否有心血管系统钙化分为A组(无钙化)和B组(有钙化)。比较两组患者术前术后自发性骨折、骨痛、皮肤瘙痒及并发症发生情况。结果两组患者手术成功率比较差异无统计学意义(P>0.05)。A组患者术前骨折、骨痛及皮肤瘙痒发生率均低于对照组[7.69%比40.74%,15.38%比55.56%,23.08%比62.96%,P<0.05];术后比较差异无统计学意义(P>0.05)。B组术后低血钙并发症发生率高于A组[37.04%比7.69%,P<0.05]。结论尿毒症不同钙化程度患者行甲状旁腺切除术均可获得显著疗效,但心血管系统钙化程度减轻患者术后较为稳定。

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