Seven Cases of Subtotal Patathyroidectomy for Renal Hyperparathyroidism

腎性副甲状腺機能亢進症に対する副甲状能亜全摘術を施行した7症例の検討

Dohi Kiyohiko

Marubayashi Seiji

Takenaka Masaharu

Yahata Hiroshi

Ono Eiji

Omotehara Tamon

Asahara Toshimasa

Eto Takaaki

Sugino Keizo

Sumimoto Kazuo

Fukuda Yasuhiko

Ezaki Haruo

Tatsukawa Yorimitsu

Hiroshima Journal of Medical Sciences

[PISSN] 0018-2052

[EISSN] 2433-7668

[NCID] AA00664312

Seven patients under maintenance hemodialysis were performed the subtotal parathyroidectomy from January 1979 to August 1984. Their ages ranged from 8 to 49 years. The primary renal disease included chronic glomerulonephritis in 4 patients, polycystic kidneys in 2 patients and renal aplasia in one patient. We preserved 20 to 180 mg of parathyroid tissue on intact vascular pedicle. All histology of these glands showed parathyroid hyperplasia.

The PTH levels were elevated in all patients preoperatively from 1.1 to 35.4 times the upper limit of normal. Postoperatively, these values dramatically decreased in all but one patient. All of these six patients had a decrease in serum calcium levels as well as resolved clinical symptoms. Roentgenographic improvement also occurred in all of these six patients.

Secondary hyperparathyroidism

Chronic renal failure

Medical sciences [ 490 ]

eng

Hiroshima University School of Medicine

[ISSN] 0018-2052

[NCID] AA00664312

[PMID] 6534924