Surgical problems of secondary and tertiary hyperparathyroidism in dialysis patients with chronic renal failure
DOI:
https://doi.org/10.11603/2414-4533.2020.1.10740Keywords:
chronic renal failure, secondary hyperparathyroidism, tertiary hypeparathyroidism, parathyroidectomyAbstract
The aim of the work: to improve the results of surgical treatment of secondary and tertiary hyperparathyroidism in patients with chronic renal failure in treatment of chronic hemodialysis.
Materials and Methods. The study was conducted on the basis of examination of medical records and 89 patients treated at the Department of Nephrology, City Clinical Hospital No. 2, Kryvyi Rih for 2014–2018. All patients were treated CKI using dialysis methods. Among the patients of group 1 66 (74.2 %) patients were on hemodialysis (HD), the group 2 – 23 (25.8 %) on peritonal dialysis (PD). In both groups, men predominated by sex: 49 (55.1 %) and 40 (44.9 %), respectively. The mean age of patients in group 1 with PD was (35±6.4) years, group 2 – with PD – (43±12.4). The mean dialysis period in group 1 was (9.6±2.3) years, in group 2 – (5.4±3.7).
Results and Discussion. Among the main criteria for the surgical treatment of hypeparathyroidism in dialysis patients, clinical, laboratory, and instrumental indicators were identified.
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