Research progress on recurrence after total parathyroidectomy combined with autologous transplantation surgery in patients with refractory secondary hyperparathyroidism
Research progress on recurrence after total parathyroidectomy combined with autologous transplantation surgery in patients with refractory secondary hyperparathyroidism
Secondary hyperparathyroidism(SHPT)is one of the most common complications in uremia patients undergoing long-term hemodialysis treatment.SHPT patients after long-term dialysis treatment e-ventually developed into refractory SHPT.At this time,the effect of medical treatment is poor or even ineffec-tive,and surgical treatment can make patients symptoms improve rapidly.At present,total parathyroidectomy+autologous transplantation(tPTX+AT)surgery is one of the main surgical methods for patients with re-fractory SHPT.However,in recent years,the rehabilitation management problem of patients with refractory SHPT after tPTX+AT surgery has become increasingly prominent,and how to reduce the recurrence rate is a difficult point in this field.This article summarizes and discusses the factors that may affect the recurrence af-ter tPTX+AT surgery,so as to provide clinical ideas for clinicians to further improve the success rate of sur-gery,reduce the recurrence rate of surgery,improve the quality of life of patients after surgery,and strengthen the postoperative management.
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