传统手术与超声引导下射频消融术在SHPT治疗中的对比研究
【摘要】 目的:比较超声引导下射频消融术(RFA)与甲状旁腺切除术(PTX)治疗继发性甲状旁腺功能亢进(SHPT)的临床疗效及并发症情况。方法:选取2014年3月-2017年3月本院收治的SHPT患者79例。按照不同治疗方式将其分为RFA组32例和PTX组47例。比较两组手术总时间、住院天数、并发症,手术前后临床症状评分、血肌酐(Scr)、全段甲状旁腺激素(iPTH)。结果:RFA组手术总时间、住院天数均短于PTX组,比较差异均有统计学意义(P<0.05);手术前后,两组骨关节痛、皮肤瘙痒、肌无力评分比较,差异均无统计学意义(P>0.05);术后1周,两组骨关节痛、皮肤瘙痒、肌无力评分均低于术前,比较差异均有统计学意义(P<0.05);RFA组并发症发生率为3.1%(1/32),低于PTX组的19.1%(9/47),但比较差異无统计学意义(P>0.05);两组手术前后及不同时间点的Scr水平比较,差异均无统计学意义(P>0.05);两组术后iPTH水平均低于术前(P<0.05),但两组间不同时间点比较差异均无统计学意义(P>0.05)。结论:超声引导下RFA治疗SHPT可以达到与手术治疗相似的临床疗效,而且RFA较PTX手术时间短、住院时间短、并发症少,是一种有效、安全的微创治疗方法。
【关键词】 继发性甲状旁腺功能亢进; 射频消融术; 甲状旁腺切除术; 超声引导
Comparative Study of Traditional Surgery and Ultrasound-guided Radiofrequency Ablation in Treatment of SHPT/YANG Jianchuan,WU Songsong,ZHU Lin,et al.//Medical Innovation of China,2018,15(13):045-049
【Abstract】 Objective:To compare the clinical efficacy and complications of ultrasound-guided radiofrequency ablation(RFA) and parathyroidectomy(PTX) in treatment of secondary hyperparathyroidism(SHPT).Method:A total of 79 patients with SHPT from March 2014 to March 2017 in our hospital were selected.According to different treatment methods,they were divided into RFA group(n=32) and PTX group(n=47).The total operation time,hospital stay,complications,clinical symptom score,serum creatinine(Scr) and immunoreactive parathyroid hormone(iPTH) before and after operation between two groups were compared.Result...
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