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Hiroshima Journal of Medical Sciences Volume 33 Issue 4
published_at 1984-12
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
Abstract
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.
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.
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Keywords
Secondary hyperparathyroidism
Chronic renal failure
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