Orrei M G, Catizone L, Pavlica P, Veneziano S, Viglietta G
Radiol Med. 1986 Jul-Aug;72(7-8):521-7.
Partial parathyroidectomy (PTX) was carried out 20 times in 15 dialitic patients with chronic renal failure. The operation was suggested by marked radiological abnormalities due to severe secondary hyperparathyroidism, that developed despite aggressive medical and dietetic management. The skeletal x-ray examination showed significant improvement following PTX, that was clearly visible already one month postoperatively at the level of the second and third phalanges of the hands. The improvement of the skeletal osteodystrophic patterns was always associated to a fall of parathyroid hormone and plasma alkaline phosphatase levels. The radiological examination of the hands may represent a usefull and simple method in the follow-up of patients after surgery to assess the efficacy of PTX.
对15例慢性肾衰竭透析患者进行了20次甲状旁腺部分切除术（PTX）。尽管进行了积极的药物和饮食治疗，但由于严重的继发性甲状旁腺功能亢进导致明显的放射学异常，故而建议进行手术。骨骼X线检查显示PTX术后有显著改善，术后1个月在手部第二和第三指骨水平即可明显看出。骨骼骨营养不良模式的改善总是与甲状旁腺激素和血浆碱性磷酸酶水平的下降相关。手部的放射学检查可能是一种有用且简单的方法，用于评估PTX术后患者的随访效果。
