继发性甲状旁腺功能亢进症的外科治疗

继发性甲状旁腺功能亢进症(SHPT)是由于各种原因引起机体低血钙或高血磷,长期刺激甲状旁腺分泌过量的甲状旁腺素而导致的一种临床综合征。当药物及一般治疗效果不佳时就进展成为难治性SHPT,此时通过手术或局部介入性治疗可获得良好疗效。笔者从手术治疗和局部介入治疗方面探讨外科治疗SHPT疗效,并讨论分析这些治疗方法的前景。

Surgical treatment of secondary hyperparathyroidism

Secondary hyperparathyroidism (SHPT) is a clinical syndrome that is described as the excessive secretion of parathyroid hormone by the parathyroid glands in response to the long-term stimulation of hypocalcemia and hyperphosphatemia resulting from various causes. Some cases, due to ineffective medication or other general treatments, will progress to refractory SHPT, for which favorable results may be achieved by surgery or local interventional procedures. In this paper, the authors explore the efficacy of surgical and local interventional treatment of SHPT and discuss the prospects of application of these methods of treatment.