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Head & neck v.39 no.3, 2017년, pp.564 - 571   SCI SCIE
본 등재정보는 저널의 등재정보를 참고하여 보여주는 베타서비스로 정확한 논문의 등재여부는 등재기관에 확인하시기 바랍니다.

Efficacy and safety of ultrasound‐guided radiofrequency ablation of hyperplastic parathyroid gland for secondary hyperparathyroidism associated with chronic kidney disease

Peng, Chengzhong (Department of Ultrasound, Hangzhou Hospital of Traditional Chinese Medicine, Hangzhou, Zhejiang Province, China ) ; Zhang, Zhengxian (Department of Ultrasound, Hangzhou Hospital of Traditional Chinese Medicine, Hangzhou, Zhejiang Province, China ) ; Liu, Jibin (Department of Radiology, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania ) ; Chen, Hongyu (Department of Nephrology, Hangzhou Hospital of Traditional Chinese Medicine, Hangzhou, Zhejiang Province, China ) ; Tu, Xiao (Department of Nephrology, Hangzhou Hospital of Traditional Chinese Medicine, Hangzhou, Zhejiang Province, China ) ; Hu, Rihong (Department of Nephrology, Hangzhou Hospital of Traditional Chinese Medicine, Hangzhou, Zhejiang Province, China ) ; Ni, Jun (Department of Nephrology, Hangzhou Hospital of Traditional Chinese Medicine, Hangzhou, Zhejiang Province, Chi ) ; Weng, Ning ; Pang, Haisu ; Xue, Zhengmei ;
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    Abstract Background The purpose of this study was to determine if ultrasound‐guided radiofrequency ablation (RFA) of hyperplastic parathyroid glands could be used to treat secondary hyperparathyroidism (HPT) in patients with chronic kidney disease. Methods RFA of the hyperplastic parathyroid glands was performed in 34 patients with secondary HPT. Intact parathyroid hormone (iPTH), calcium, and phosphorus were measured. The outcome was based on the ablation extent (ie, 4, 3, and 1–2 glands). Results The iPTH, calcium, and phosphorus levels decreased in all groups after RFA. One year after ablation, these parameters remained significantly lower in the 4‐gland ablation group compared with the 3‐gland and 1 to 2‐gland groups. The same tendency was observed for the symptom score. The iPTH levels of Conclusions RFA of hyperplastic parathyroid glands for treating secondary HPT is feasible in selected patients. ⓒ 2016 Wiley Periodicals, Inc. Head Neck 39: 564–571, 2017


  • 주제어

    hyperplastic parathyroid gland .   radiofrequency ablation .   secondary hyperparathyroidism .   chronic kidney disease .   intact parathyroid hormone.  

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