腹膜透析之腫瘤性鈣質沉著症之探討

Discussion on Tumoral Calcinosis Caused by Peritoneal Dialysis

吳苓琪(Ling-Chi Wu) ； 陳瓊瑤(Chiung-Yao Chen) ； 支玉鑫(Yu-Hsin Chih) ； 林展宇(Chan-Yu Lin) ； 張明揚(Ming-Yang Chang) ； 田亞中(Ya-Chung Tian)

《腎臟與透析》 31卷1期 (2019/03) Pp. 25-29

https://doi.org/10.6340/KD.201903_31(1).0006

摘要

腫瘤性鈣質沉著症在腹膜透析病人是一種不常見病症，一旦發生可能造成病人關節疼痛、活動受限等困擾，影響其生活品質。因為腹膜透析病人需長期使用含鈣之磷結合劑及飲食中攝入過多高磷食物，長期下來就容易造成鈣磷不平衡及副甲狀腺機能亢進等問題，進而導致鈣磷沉積於軟組織，而造成腫瘤性鈣質沉著症。此改善方式，需經由飲食衛教採低磷飲食並做好飲食的管控、配合醫囑使用不含鈣之磷結合劑及低鈣透析液、副甲狀腺切除、外科處置切除病灶或換腎，來改善腫瘤性鈣質沉著症。

關鍵字

腹膜透析 ； 腫瘤性鈣質沉著症 ； 高血磷症

並列摘要

Tumoral calcinosis is an uncommon disease in peritoneal dialysis patients. However, if it occurs, it may cause joint pain and limited mobility, which affects the quality of life. Because peritoneal dialysis patients need long-term use of calcium-containing phosphorus binders and excessive intake of high-phosphorus foods in the diet, it is easy to cause calcium and phosphorus imbalance and hyperthyroidism in the long-term, which leads to the deposition of calcium and phosphorus in soft tissues, causing tumoral calcinosis. The improvement of this disease requires a low-phosphorus diet, a use of a calcium-free phosphorus binder, and a low-calcium dialysate. Parathyroidectomy, surgical removal of the lesion, or kidney transplantation may also be benefit to improve this disease.

並列關鍵字

peritoneal dialysis ； neoplastic calcinosis ； hyperphosphatemia