本文選題：尿毒癥　切入點(diǎn)：甲狀旁腺功能亢進(jìn)　出處：《重慶醫(yī)學(xué)》2017年25期

【摘要】：目的探討尿毒癥規(guī)律血液透析患者繼發(fā)甲狀旁腺功能亢進(jìn)(SHPT)合并甲狀腺癌的臨床特點(diǎn)及診治。方法回顧性分析2013年1月至2016年4月在該院腎科因尿毒癥SHPT接受甲狀旁腺切除術(shù)(n=55)的患者中合并甲狀腺癌的7例患者臨床資料。結(jié)果 55例因尿毒癥SHPT行甲狀旁腺切除術(shù)的患者中發(fā)現(xiàn)有7例合并甲狀腺癌,發(fā)生率為12.7%,術(shù)前甲狀腺彩超均提示甲狀腺癌,敏感性100%。7例患者均成功接受手術(shù)治療,術(shù)后病理:1例為甲狀腺濾泡狀癌(FTC),6例為甲狀腺乳頭狀癌(PTC);7例均為甲狀旁腺腺瘤。隨訪時(shí)間6~40個(gè)月無SHPT復(fù)發(fā),無甲狀腺癌局部或遠(yuǎn)處復(fù)發(fā)。結(jié)論尿毒癥患者SHPT合并甲狀腺癌發(fā)病率有明顯增高趨勢,應(yīng)加強(qiáng)對該類患者的彩超篩查,盡可能減少醫(yī)療輻射、碘攝入過多等甲狀腺癌的高危因素,早期手術(shù)預(yù)后良好。
[Abstract]:Objective to investigate the clinical features, diagnosis and treatment of secondary hyperparathyroidism (SHPTT) combined with thyroid carcinoma in patients with uremia.Methods from January 2013 to April 2016, 7 patients with thyroid carcinoma were treated with parathyroidectomy and parathyroidectomy (SHPT) for uremia in our hospital from January 2013 to April 2016. The clinical data of 7 patients with thyroid carcinoma were analyzed retrospectively.Results among 55 patients with uremia SHPT underwent parathyroidectomy, 7 cases were found to be complicated with thyroid carcinoma, the incidence rate was 12.7.The preoperative thyroid color ultrasound showed thyroid carcinoma, and the sensitivity of 100.7 cases was successfully treated by operation.One case of thyroid follicular carcinoma, 6 cases of thyroid papillary carcinoma, and 7 cases of parathyroid adenoma.No recurrence of SHPT or local or distant recurrence of thyroid carcinoma was observed during the follow-up period of 6 to 40 months.Conclusion the incidence of SHPT combined with thyroid carcinoma in uremic patients is obviously increasing. Color ultrasound screening should be strengthened to minimize the high risk factors of thyroid cancer such as medical radiation excessive iodine intake and so on. The prognosis of early operation is good.
【作者單位】： 第三軍醫(yī)大學(xué)西南醫(yī)院腎科;
【分類號】：R582.1;R692.5;R736.1

【相似文獻(xiàn)】

相關(guān)期刊論文 前9條

1 魏幼萍;;原發(fā)性甲狀旁腺功能亢進(jìn)的診斷和治療[J];中外醫(yī)療;2012年08期

2 張克勤,武正炎,許松泉,包麗華,陳家偉;甲狀旁腺切除術(shù)對甲狀旁腺機(jī)能亢進(jìn)性骨病的遠(yuǎn)期療效[J];南京醫(yī)科大學(xué)學(xué)報(bào);1998年06期

3 邙建波;麥沛成;羅民;;原發(fā)性甲狀旁腺功能亢進(jìn)的診斷和治療[J];現(xiàn)代中西醫(yī)結(jié)合雜志;2010年19期

4 毓芩;;藥物治療減少甲狀旁腺切除術(shù)[J];國外醫(yī)學(xué)情報(bào);1998年05期

5 王靜;吳偉偉;;原發(fā)性甲狀旁腺功能亢進(jìn)癥定位技術(shù)研究[J];社區(qū)醫(yī)學(xué)雜志;2014年09期

6 馬中立;甲狀旁腺切除術(shù)后PTH分泌的(?)[J];國外醫(yī)學(xué).內(nèi)分泌學(xué)分冊;1988年03期

7 鄧先兆;伍波;鐘春林;康杰;樊友本;;原發(fā)性甲狀旁腺功能亢進(jìn)的多學(xué)科聯(lián)合診治120例[J];上海醫(yī)學(xué);2012年11期

8 周福榮;王華;梁國君;;繼發(fā)性(腎性)甲狀旁腺功能亢進(jìn)的治療研究[J];四川醫(yī)學(xué);2012年08期

9 柯劍婷;朱偉平;陳劍;陳家湄;李杰;杜藝;李宓;;尿毒癥繼發(fā)性甲旁亢甲狀旁腺切除術(shù)臨床觀察[J];中國實(shí)用醫(yī)藥;2009年29期

相關(guān)博士學(xué)位論文 前1條

1 董建宇;455例甲狀旁腺功能亢進(jìn)患者病歷回顧性分析[D];北京協(xié)和醫(yī)學(xué)院;2009年

，

本文編號：1720535