Aspects of the surgical treatment of secondary hyperparathyroidism in patients with chronic renal failure are on dialysis replacement therapy program

Abstract

The article is devoted to study of efficacy of surgical methods of treatment of secondary hyperparathyroidism which is refractory to therapy using active metabolites of D vitamin in patients with stage V chronic renal disease receiving treatment with program hemodialysis. In some cases the surgical treatment of the advanced stage of secondary hyperparathyroidism, PTH reduction was not observed, but patients reported clearly the disappearance or reduction of the pain in the bones and joints and also the normalization of calcium phosphorus metabolism. We are adhere to surgical treatment method consisting in removing of enlarged parathyroid glands with further conservative therapy that helps to avoid postoperative hypoparathyroidism, normalize the levels of parathyroid hormone and improves the quality of life of patients.

Keywords

• гиперпаратиреоз
• гемодиализ
• хирургическое лечение
• hyperparathyroidism
• hemodialysis
• surgical treatment