维持性血液透析患者双侧髂嵴皮下异位钙化肿块一例报告

摘要

Mineral and bone metabolism disorder (CKD-MBD)is a serious complication in the pa-tients with chronic renal failure (CRF),particularly in CRF receiving maintenance blood dialysis. CKD-MBD may result in bone disease and vascular calcification,leading to a high incidence of cardiovascular events and then affecting the patient's quality of life. This article was reported a patient who having a maintenance dialysis showed lumps on bilateral iliac crests. B-ultrasound examination cannot determine the nature of the lumps.Based on the results of local tissue biopsy and biochemical laboratorial examinations,the diagnosis was made as metabolic calcium salt deposition,caused by chronic renal failure. After continuing dialysis,diet control as well as treatment with non-calcium-based phosphate binders and active vitamin D,the patient's lumps stopped increasing,and began to be narrowed gradually.%矿物质与骨代谢紊乱（CKD-MBD）是慢性肾衰竭患者、特别是肾衰竭进行维持性血液透析（MHD）患者中的严重并发症。CKD-MBD可引起骨病及血管钙化，导致心血管事件高发，影响患者的生存质量。该文报道了1例MHD患者发现双侧髂嵴肿物，B超检查不能明确肿物性质，遂行局部活组织病理检查，结合生化指标，诊断为慢性肾功能不全引起的代谢性钙盐沉积症。经加强透析、控制饮食、口服不含钙的磷结合剂及活性维生素D等治疗措施后，双髂嵴肿块未见继续增大，且有逐步缩小趋势。