继发性甲状旁腺功能亢进外科治疗中甲状旁腺自体移植的临床现状及争议
Clinical status and controversy of parathyroid autotransplantation in the surgical management of Secondary Hyperparathyroidism
穆永亮 1边学海1
作者信息
- 1. 130032 吉林大学中日联谊医院甲状腺外科/吉林省外科转化医学重点实验室/吉林省甲状腺疾病防治工程实验室
- 折叠
摘要
继发性甲状旁腺功能亢进(secondary hyperparathyroidism,SHPT)是晚期慢性肾病病人常见的并发症之一.1977年提出了甲状旁腺全切术+自体移植术(total parathyroidectomy with autotransplantation,TPTX+AT)以来,关于自体移植的部分相关问题尚未形成共识.本文就自体移植的依据及临床价值、移植部位、移植方法、移植物存活与功能监测、复发的诊断与处理等进行综述.
Abstract
Secondary hyperparathyroidism(SHPT)is one of the common complications in patients with advanced chronic kidney disease.Since the surgical procedure of total parathyroidectomy with autotransplantation(TPTX+AT)was proposed in 1977,there has been no consensus on some issues related to autotransplantation.This article reviews the basis and clinical value of autotransplantation,transplantation site,transplantation method,transplant survival,and function monitoring,diagnosis and management of recurrence,etc.
关键词
甲状旁腺功能亢进症/继发性/手术治疗/自体移植Key words
hyperparathyroidism/secondary/surgical treatment/autotransplantation引用本文复制引用
出版年
2024
NETL
NSTL
万方数据