Leshan Vocational&Technical College, Sichuan Leshan, 614013, China
Objective to investigate the effect of total parathyroidectomy and autotransplantation on uremia with hyperparathyroidism. Methods 80 patients with uremia and hyperparathyroidism were selected in this study. The start time was August 2017 and the end time was August 2018. They were divided into two groups by drawing lots. 40 patients were in the reference group and 40 patients were in the study group. The reference group received total parathyroidectomy and the study group received total parathyroidectomy + autotransplantation. Compared with the treatment of patients, statistical analysis. Results the P and Ca values in blood were significantly improved at 1 day, 1 week and 3 months after operation, which was better than that before operation, forming a statistical significance (P < 0.05). There was no significant difference between the two groups (P > 0.05). For the recurrence rate, there was no statistical significance between the two groups (P > 0.05). Conclusion the treatment of uremia with hyperparathyroidism with total parathyroidectomy and autotransplantation can effectively improve the symptoms, facilitate the recovery of multiple indicators, and reduce the recurrence rate, which can be used in clinical practice.
Total parathyroidectomy, Autotransplantation, Uremia, Hyperparathyroidism
Dan Luo. To observe the effect of total parathyroidectomy and autotransplantation on uremia with hyperparathyroidism. Frontiers in Medical Science Research (2020) Vol. 2 Issue 2: 25-29. https://doi.org/10.25236/FMSR.2020.020204.
 Ge Yifei, Ren Haibin, Liu Jia, et al (2013). Total parathyroidectomy and forearm transplantation for uremic secondary hyperparathyroidism [J]. Chinese Journal of Nephrology, vol.29, no.1, pp.16-20.
 Wang Yuqin, Ge Yifei, Mao Huijuan (2017). Clinical analysis of surgical treatment of 57 cases of secondary hyperparathyroidism [J]. Chongqing medicine, vol.46, no.18, pp.2478-2480.
 Wang Shaoyong, Tan Zhongqi, Yuan Feng et al (2019). The effect of total parathyroidectomy combined with autotransplantation in the treatment of secondary hyperparathyroidism caused by uremia [J]. Contemporary medical treatise, vol.17, no.9, pp.117-119.
 Zhang Zhijian, Mo Yanping, Chen Chao et al (2019). Observation on the short-term effect of total parathyroidectomy combined with autotransplantation of forearm in the treatment of secondary hyperparathyroidism after uremia [J]. Journal of Guangzhou Medical University, vol. 47, no.1, pp.73-75,83.
 Chen tingyue (2018). Surgical nursing of uremic secondary hyperparathyroidism treated by total parathyroidectomy and forearm autotransplantation [J]. Family medicine, no.10, pp.357-358.