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以內視鏡輔助之微創副甲狀腺切除術治療續發性副甲狀腺機能亢進

Endoscopic Assisted Minimally Invasive Parathyroidectomy for Patients with Secondary Hyperparathyroidism

摘要


續發性副甲狀腺機能亢進是慢性腎衰竭病人常見的併發症,可引起血鈣過高、肌肉痠痛、無力、血管硬化導致嚴重心血管疾病。當藥物無法治療續發性副甲狀腺機能亢進時,選擇外科手術切除副甲狀腺是治療的方式。近年來微創手術的進步,有減少疤痕切口的手術方式,本文介紹以內視鏡輔助之微創副甲狀腺切除術治療腎衰竭引起之續發性副甲狀腺機能亢進,能兼顧傷口美觀及不損失手術利益的目的,討論副甲狀腺切除術適應症,手術預後與照護。

並列摘要


Secondary hyperparathyroidism is a common complication in patients with chronic renal failure and can cause hypercalcemia, muscle pain, weakness, arteriosclerosis leading to serious cardiovascular disease. Surgical removal of the parathyroid gland is the way of treatment when medical treatment could not control secondary hyperparathyroidism-associated complications. In recent years, advances in minimally invasive surgery provide less scarring surgical incision. This article will describe endoscopic assisted minimally invasive parathyroid surgery for patients with chronic renal failure-related secondary hyperparathyroidism. This surgical technique offers a similarly success rate and has superior cosmetic results. The indications of parathyroidectomy, surgical prognosis and care are also discussed.

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