속발성 부갑상선 기능항진증의 수술적 치료 경험 1예

• 영문명: A Case of Surgical Experience of Secondary Hyperparathyroidism
• 발행기관: 대한내분비외과학회
• 저자명: 정파종 김성우 박찬현¹ 김한준 Pa Jong Jung M.D. Sung Woo Kim M.D. Chan Hyun Park M.D.¹ and Han Joon Kim M.D.
• 간행물 정보: 『The Koreran journal of Endocrine Surgery』3권1호, 57~62쪽, 전체 6쪽
• 주제분류: 의약학 > 면역학
• 파일형태: PDF
• 발행일자: 2003.04.30

영문 초록

The enlarged parathyroid glands associated with chronic renal failure were recognized during the 1930's. The number of patients on long-term hemodialysis due to chronic renal failure is steadily increasing and the hyperparathyroid state certainly became a clinical problem in the dialysis population. The physiologic mechanisms leading to secondary hyperparathyroidism are multifactorial with renal phosphate retention, skeletal resistance to parathyroid hormone (PTH) action and impairment vitamin D metabolism being some of the known factors. Despite intensive medical management however inadequate control of parathyroid hyperplasia may necessitate surgical intervention. The goal of surgical therapy is to resect sufficient tissue to reverse the hyperparathyroidism without rendering the patient permanently hypoparathyroidism. We experienced a case of secondary hyperparathyroidism and reported its result of total parathyroidectomy, autogenous transplantation and cryopreservation of parathyroid gland. (Korean J Endocrine Surg 2002;2:57-62)

키워드

이차성 부갑상선항진증, 신성 골이영양증, 고칼슘혈증, 부갑상선전절제술, 부갑상선 자가이식,Sencondary hyperparathyroidism, Renal osteodystrophy, Hypercalcemia, Total parathyroidectomy, Parathyroid autotransplantation