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ID 37935
本文ファイル
著者
Marubayashi, Seiji
Fukuda, Yasuhiko
Watanabe, Hiroshi
Matsusaka, Chiko
Oshiro, Yoshio
Nitta, Kohsaku
Yahata, Hiroshi
Asahara, Toshimasa
Dohi, Kiyohiko
Harada, Satoru
Tatsukawa, Yorimitsu
Kamikawa, Hiroyuki
Ookubo, Takashi
Sasaki, Hiroshi
Yamashita, Tatsuhiro
Yasuda, Katsuki
Nakayama, Hirofumi
Ito, Hisao
キーワード
Secondary hyperparathyroidism
Chronic renal failure
Parathyroidectomy
Renal osteodystrophy
NDC
医学
抄録(英)
The present study describes surgical resection in 23 patients under maintenance hemodialysis with hyperparathyroidism. Twenty-three patients under maintenance hemodialysis had subtotal parathyroidectomy (s-PTx, n= 12) or parathyroid gland transplantation combined with total parathyroidectomy (Tx, n= 11) performed from January 1979 to January 1991. Their ages ranged from 8 to 63 years.  

The PTH levels were elevated in all patients preoperatively from 2.5 to 120 times over the upper limit of normal. After s-PTx, PTH levels sharply declined in all but one patient. Clinical symptoms improved in 11 cases with PTH decrease. After Tx, an abrupt decline in PTH was observed after surgery in 10 patients. One patient was reoperated because of persistent hyperparathyroidism. Another patient showed a PTH increase 13 months after surgery. The transplanted parathyroid gland was subtotally resected. Five months after reoperation, the condition recurred and the patient underwent total resection of the transplanted parathyroid gland and its re-autografting into the forearm.  

In the patients with renal hyperparathyroidism, s-PTx or Tx improved clinical symptoms; this indicates the high reliability of both procedures in treating the disease. A long-term follow-up study must be conducted to check the possible postoperative recurrence of hyperparathyroidism from residual and/ or auto graft parathyroid gland.
掲載誌名
Hiroshima Journal of Medical Sciences
41巻
1号
開始ページ
7
終了ページ
11
出版年月日
1992-03
出版者
Hiroshima University Medical Press
ISSN
0018-2052
NCID
PubMedID
言語
英語
NII資源タイプ
紀要論文
広大資料タイプ
学内刊行物(紀要等)
DCMIタイプ
text
フォーマット
application/pdf
著者版フラグ
publisher
部局名
医歯薬学総合研究科
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