Follow-up Study of Total Parathyroidectomy with Forearm Autograft for Secondary Hyperparathyroidism in Hemodialysis Patients.

概要

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Clinical and radiological evaluations were carried out on 17 hemodialysis patients who were treated by total parathyroidectomy with forearm autograft (PTX). The average follow-up period was 3.6 years.Clinical symptoms such as pain and itching had improved within 7 days after the PTX. In radiological findings, subperiosteal resorption of the phalanges and cranium had also improved within 6 months after the PTX, but the rugger jersey appearances of vertebral body had not improved.According to the histomorphometric analysis of the iliac bone biopsy, these 17 cases were classified into the following three types: mild type (3 cases), osteitis fibrosa type (12 cases) and mixed type (2 cases). In the mixed type, the improvement was less than in the others. The aluminum stain was done on 11 of the 17 cases, and it was positive in 7 cases.
西日本整形・災害外科学会の論文