Secondary Hyperparathyroidism in Patients on Maintenance Hemodialysis : Study of Optimal Hemopurification and Parathyroidectomy

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概要

• 論文の詳細を見る

• We have found that hemofiltration and direct hemoperfusion combined with hemodialysis removed significant amounts of parathyroid hormone. Hemofiltration and direct hemoperfusion combined with hemodialysis seemed to have better effects on secondary hyperparathyroidism. Surgical parathyroidectomy is indicated when medical parathyroidectomy has failed to prevent progressive bone disease. We had ten patients with refractory secondary hyperparathyroidism. In these patients, subtotal parathyroidectomy was attempted. The results obtained were: 1) Subtotal parathyroidectomy was successful in all patients. 2) Preoperative serum parathyroid hormone values were useful for diagnosis of secondary hyperparathyroidism. 3) The average serum N and C-terminal parathyroid hormone values measured preoperatively were 4,491.00±892.13pg/ml and 4,580.00±474.48pg/ml, respectively. 4) The average N and C-terminal parathyroid hormone values measured postoperatively were 298.60±128.68pg/ml and 2,631.00±719.51pg/ml, respectively.

• 東海大学の論文

著者

• HIDA Miho

  Departments of Transplantation I Tokai University School of Medicine, Isehara, Japan

• Satoh Takeshi

  Department of Cardiology, Cardiovascular Center,Hitachi General Hospital

• SAITO HIROSHI

  Department of Neurology, Tohoku University School of Medicine

• Hida Miho

  東海大学

• Hida Miho

  Department Of Transplantation I School Of Medicine Tokai University

• Hida M

  Department Of Transplantation I Tokai University School Of Medicine

• Hida Miho

  Department Of Transplantation School Of Medicine Tokai University

• Tanaka S

  Tokai Univ. School Of Medicine

• Tajima Tomoo

  Department Of Surgety Tokai University School Of Medicine

• Tajima Tomoo

  Department Of 2nd Surgery School Of Medicine Tokai University

• Sato T

  Department Of Transplantation I Tokai University School Of Medicine

• SHIMBO Takao

  Department of Transplantation I, School of Medicine, Tokai University

• TAKEDA Masahiro

  Department of Transplantation I, School of Medicine, Tokai University

• Hida Miho

  Department Of Transplantation I Tokai University School Of Medicine

• Saitoh Hiroshi

  Department Of Transplantation I School Of Medicine Tokai University

• Shimbo Takao

  Kidney Center Tokai University Hospital

• Shimbo Takao

  Department Of Transplantation I School Of Medicine Tokai University

• Saito Hiroshi

  Department Of Cardiovascular Medicine Osaka University Graduate School Of Medicine

• Tanaka Shinichi

  Kidney Center Tokai University Hospital

• Satoh Takeshi

  Department Of Architecture Miyagi College Of Technology

• Takeda Masahiro

  Department Of Liberal Arts Ehime College Of Health Science

• Satoh T

  Department Of Transplantation School Of Medicine Tokai University

• Satoh Takeshi

  Department Of Transplantation School Of Medicine Tokai University

• Saito Hiroshi

  Department of Applied Chemistry, Graduate School of Engineering, Tohoku University

• Hida Miho

  Department of Kidney Center, Tokai University School of Medicine

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