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射频切除后的并发症是慢性病后的副次性甲状腺功能过强症
Li-Ping Lin1, Miao Lin1, Song-Song Wu2
1Department of Nephrology, Shengli Clinical College of Fujian Medical University, Fujian Provincial Hospital, Fuzhou, People's Republic of China.
Renal failure
|June 22, 2023
概括
在脏疾病患者中,用于二次性副甲状腺功能障碍的射频切除 (RFA) 可能会导致神经损伤和低血症等并发症. 一个月的间隔治疗可能会降低神经损伤的风险,而年龄和结节数量会影响低血症.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 内分泌学 在内分泌学.
- 干预性放射学 干预性放射学
背景情况:
- 二次性偏甲状腺症 (SHPT) 是常见的慢性病 (CKD) 患者在替代疗法.
- 超声波导向的射频剥离 (RFA) 是SHPT的治疗选择.
- 这种人群中与RFA相关的并发症需要进一步调查.
研究的目的:
- 为了评估超声导向RFA的并发症,在CKD患者与SHPT.
- 为了确定RFA治疗后不良事件的风险因素.
主要方法:
- 从2017年7月至2021年1月期间接受超声导向RFA治疗的103名SHPT患者的临床数据的回顾性审查.
- 分析一般信息,检查结果,治疗细节和术后并发症.
- 亚组分析以确定与严重低血症相关的因素.
主要成果:
- 与第一个相比,在第二次RFA会话后,复发性喉神经损伤的发生率明显高于第一个 (21.15%对5.77%).
- 经历并发症的患者有更高数量的切除结节.
- 较年轻的年龄,更多的切除结节,以及较高的血清和酸酶 (ALP) 水平,在第一个RFA会话后与严重的低血症有关.
结论:
- 在RFA治疗之间超过一个月的间隔可能会降低喉神经复发损伤的风险.
- 年龄,血清含量,ALP和切除结节的数量是RFA后严重低血症的危险因素.
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