[Secondary hyperparathyroidism in chronic renal failure. Role of subtotal parathyroidectomy].
Fourteen patients with chronic renal failure and secondary hyperparathyroidism were treated by subtotal parathyroidectomy. Bone pain and hypercalcemia were the main indications to surgery respectively in 13 and 1 patients. Bone pain disappeared or was significantly reduced in 12/14 patients. Two patients had a persistent hyperparathyroidism. Serum alkaline phosphatase returned to normal in 12 patients and PTH in 11 of 12 patients with pretreatment high levels.
Istituto di Chirugia e Oncologia, Università degli Studi di Cagliari.
A
A
Tarquini
A
A
Nicolosi
B
B
Massidda
P
P
Bolasco
P
P
Altieri
C
C
Massidda
D000328:Adult; D000368:Aged; D000469:Alkaline Phosphatase / Q000097:blood; D005260:Female; D006801:Humans; D006934:Hypercalcemia / Q000209:etiology; D006962:Hyperparathyroidism, Secondary / Q000097:blood / Q000209:etiology* / Q000601:surgery; D007676:Kidney Failure, Chronic / Q000150:complications*; D008297:Male; D008875:Middle Aged; D010281:Parathyroid Hormone / Q000097:blood; D016105:Parathyroidectomy
D010281:Parathyroid Hormone; D000469:Alkaline Phosphatase
L'iperparatiroidismo secondario ad insufficienza renale cronica. Ruolo della paratiroidectomia subtotale.