关键词: 继发性甲状旁腺功能亢进, 复发, 持续, 再次手术

Abstract: Analysis and strategy of reoperation for recurrent/persistent secondary hyperparathyroidism        ZHAO Qi, LI Hong-bo, BIAN Xue-hai. Department of Thyroid Surgery, China-Japan Union Hospital of Jilin University,Jilin Provincial Key Laboratory of Surgical Translational Medicine, Jilin Provincial Engineering Laboratory of Thyroid Disease Prevention and Control, Changchun130033, China
Corresponding author: BIAN Xue-hai, E-mail:bianxh@jlu.edu.cn
Abstract    Secondary hyperparathyroidism(SHPT) is a common complication of patients with end-stage renal disease. When patients develop drug-resistant SHPT, surgery is an effective treatment to relieve symptoms and improve prognosis. Due to inappropriate surgical choice, ectopic parathyroid gland, graft recurrence and other reasons, the initial operation may fail, which clinically manifests as recurrent hyperparathyroidism(RHPT) and persistent hyperparathyroidism(PHPT). Reoperation is the best treatment strategy for RHPTor PHPT. Preoperative combined application of multiple imaging examinations to locate the parathyroid gland and intraoperative application of eluent parathyroid hormone(PTH) determination and negative carbon nano imaging can improve the efficiency of surgery.

Key words: secondary hyperparathyroidism recurrent persistent reoperation