摘要
目的探讨维持性血液透析(maintenance hemodialysis,MHD)患者实施甲状旁腺(parathyroid,PT)超声检查的临床意义。方法收集MHD治疗1年以上患者的一般资料和相关实验室检查,根据全段甲状旁腺激素(intact parathyroid hormone,iPTH)水平分为A组(≥600pg/ml)和B组(<600pg/ml)实施PT超声检查。结果有73例患者入选,其中A组55例,B组18例。A组PT超声检出率90.9%(50/55),B组PT超声检出率33.3%(6/18),差异有统计学意义(P<0.001);A、B 2组间PT总体积存在显著性差异(t=4.171,P=0.021),单因素分析显示,iPTH水平与PT体积呈正相关(γ=0.543,P=0.039)。结论 iPHT水平高于600pg/ml的MHD患者,高度提示存在PT增生的可能。
Objective To investigate the clinical significance of parathyroid （PT） examination by ultraso- nography in maintenance hemodialysis （MHD） patients. Methods Seventy-three patients on MHD for more than one year were enrolled in this study. Their clinical information and laboratory parameters were collected. They were assigned into group A （iPTH ≥ 600 pg/ml, n=55） or group B （iPTH 〈600 pg/ml, n=18）. Their PTs were examined by ultrasonography. Results Abnormal PT was detected in 50 of the 55 cases in group A （90.9%） and 6 of the 18 cases in group B （33.3%; P 〈0.001）. Total PT volume was significantly different be- tween the two groups （t=-4.171, P=-0.021）. Univariate analysis showed that iPTH level was positively correlat- ed with PT volume （γ = 0.543, P= 0.039）. Conclusion MHD patients with iPHT level 〉600 pg/ml are highly suggestive of the presence of PT hyperplasia.
出处
《中国血液净化》
2014年第3期143-145,共3页
Chinese Journal of Blood Purification
