[Clinical x-ray criteria for a differential approach to the surgical treatment of uremic osteodystrophy].
To define the criteria for a differential approach to operative treatment of uremic osteodystrophy arising in hemodialysis 51 patients were examined clinically, biochemically and roentgenologically before and after parathyroidectomy. Basing on the X-ray picture, the patients were divided into 3 groups: patients with fibrous osteodystrophy seen at X-ray examination (group 1); patients with fibrous osteodystrophy, osteomalacia in predominance of secondary hyperthyroidism (group 2); patients with osteodystrophy and osteomalacia in predominance of osteomalacia syndrome (group 3); patients with uremic osteodystrophy diagnosed only biochemically. Parathyroidectomy proved most effective in group 1 patients. For group 2 patients it is indicated in a subtotal or partial form in a failure of the conservative treatment. In group 3 patients parathyroidectomy is not recommended to avoid a drastic progress of osteomalacia.
Filiptsev
P Ia
PIa
Ratobyl'skiĭ
G V
GV
Suslov
V P
VP
Ivanov
I A
IA
Loseva
T V
TV
D000328:Adult; D001842:Bone and Bones / Q000000981:diagnostic imaging; D012080:Chronic Kidney Disease-Mineral and Bone Disorder / Q000000981:diagnostic imaging* / Q000601:surgery*; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007676:Kidney Failure, Chronic / Q000000981:diagnostic imaging / Q000601:surgery; D008297:Male; D010018:Osteomalacia / Q000000981:diagnostic imaging / Q000601:surgery; D016105:Parathyroidectomy; D011859:Radiography; D014511:Uremia / Q000000981:diagnostic imaging* / Q000601:surgery*
Kliniko-rentgenologicheskie kriterii differentsirovannogo podkhoda k operativnomu lecheniiu uremicheskoĭ osteodistrofii.