超声引导下ptc针穿刺无水乙醇注射治疗继发性甲状旁腺功能亢进的临床观察

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1、超声引导下PTC针穿刺无水乙醇注射治疗继发性甲状旁腺功能亢进的临床观察超声引导下PTC针穿刺无水乙醇注射治疗继发性甲状旁腺功能亢进的临床观察超声引导下PTC针穿刺无水乙醇注射治疗继发性甲状旁腺功能亢进的临床观察超声引导下PTC针穿刺无水乙醇注射治疗继发性甲状旁腺功能亢进的临床观察超声引导下PTC针穿刺无水乙醇注射治疗继发性甲状旁腺功能亢进的临床观察超声引导下PTC针穿刺无水乙醇注射治疗继发性甲状旁腺功能亢进的临床观察?30?誊用临约:2…l第l5奄第l5JournalofClinicalMedicineml】raclic…’’……川超声引导下PTC

2、针穿刺无水乙醇注射治疗继发性甲状旁腺功能亢进的临床观察章旭,曹娟,印获,王国华,丁浩,李海涛(汀竹奈必r人民院肾内科,汀苏泰兴,225400)摘要:目的观察终术期肾嵌粥患者继发Lti状旁腺功能亢进使用趟声l导FVI’C针穿刺尤水乙醇注乌1f治疗的效方法选择28例维持性m液透析继发性I1]状旁腺功能亢进(iPTH~44pmol/mI)的忠者,在超引下他用IYF(;针进行Iti状旁腺穿刺,无,K乙雕注射治疗,观察注射前后iPT,卜I,碱性磷酸酶,血清,磷及多普趣声甲状旁隙流的变化结果PEITl冶疗I11『刘比iP”FFtf1J{卜降,皮肤缓瘪}IJ1缓

3、解,骨关节痛减轻,甲状旁腺增腺体的Mi.fk;”Jj减少有J统汁:蓐,结论fEITI术II前扫阡脞J7_J状旁腺切除(,X)条什不够的单位依然是清疗雕渐一VI-sHII,的仃效力法关键词:}1I状旁腺功能C进;继发性;超声ijl导;穿刺中图分类号:R582文献标志码:A文章编号:ClinicalobservationofpercutaneousethanolinjectionbyPTCneedleunderultrasonicguidancetreatingsecondaryhyperparathyroidismznANGXu,CAOJuan,YI

4、NDi,WANGGuo—hua,DINGHao,LIHaitao(Ta/aPeopleHospital,Tai.:ring,Jiangsu,22540())ABSTRACT:OhjcctivcToobserveeffectofpercutaneousethanolinjectiontherapy(PEIlI)byPFCneedleunderuhrasonicguidancetreatingforsecondaryhyperparathyroidism(SHPT)ofend—stageFenaldisease.MethodsFwenty—eighth

5、emodialysispatientswithsecondaryhyper—parathyroidismweretrealedwithpercutaneousethanolinjectionbyPTCneedleunderuhras()nicguidance./’heparathyroidhormone,alkalinephosphatase,serumcalcium,phosph()rus,andbkx)dflowsignalsoftheglandunderultrasonicguidancewereobservedbeforeandaftert

6、reatment.Re.suitsFhelevelsofiPTHandthebloodflowsignalsoftheglandweresignificantlydecreasedwhilethesymptomssuchastheskinpruritus,bone—arthrosispainwereimprovedsignificantlyaftertreatment.There.aresignificantdifferences.ConclusionPEITPisallefficienttreatmentforSH—PTwhilenotevery

7、hospitalhasenoughfacilitytosupportparathyroidectomy(Pf,X).KEYWORDS:hyperparathyrojdisn1;secondary;ultra~micguidanceinjection继发性甲状旁腺功能几进(SHPT)是终术期肾衰竭患背的常见并发症.随着透析技术的不断进步,透析患者的生存期相应延长.但长期维持性液透析患者中,部分患者出现难治性SHPT,m清甲状旁腺激素(PTH)增高l1』j显,常伴有不同程度的皮肤瘙痒,关节痛,m管,软组织转移性钙化等症状,使透析患者的生存质量受到lr很

8、大影响.作者在彩色多普勒超声引导下使用PTC针经皮穿刺到增生的甲状旁腺,在甲状旁腺内注射收稿日期:20l104—13无水乙