Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2020, Vol. 34 ›› Issue (3): 114-119.doi: 10.6040/j.issn.1673-3770.1.2020.041

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Efficacy of different transplantation schemes for parathyroid gland resection in patients with secondary hyperparathyroidism

WANG Maolin, LI Julan, XIAN Kunlun   

  1. Department of Otolaryngology Head and Neck Surgery, Armed Police Sichuan General Corps Hospital, Leshan 614000, Sichuan, China
  • Published:2020-06-29

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Abstract: Objective Retrospectively summarize the efficacy of different transplantation schemes for parathyroid gland resection in patients with secondary hyperparathyroidism. Methods A total of 86 patients who had undergone total parathyroid gland transplantation in our hospital between March 2013 to March 2018 were divided into three groups according to the three different transplantation schemes. The preoperative, postoperative, and follow-up PTH results, hospital stay, postoperative calcium supplementation days, postoperative complications, and recurrence were collected to determine the efficacy. Results The short-term treatment efficacy(1 day after surgery-1 month after surgery)was different among the three groups, while the long-term treatment effect was not different. The short-term treatment effect of group A was the worst. The short-term treatment effect of group B and group C were similar, but overall, group C was better than group B. Conclusion The particle size of the transplanted parathyroid and the blood supply of the transplanted bed are closely related to the survival and growth of the transplanted parathyroid. Refractory secondary hyperparathyroidism can be efficaciously treated by the transplantation of small particles of parathyroid tissue into the sternocleidomastoid muscle sac.

Key words: Secondary, Hyperparathyroidism, Parathyroid resection, Parathyroid gland transplantation

CLC Number: 

  • R739.91
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