Klempa I, Frei U, Bartolucci S, Koch K M
Chirurg. 1978 Jan;49(1):37-40.
Recurrent hyperparathyreoidism occurred in 3 of 9 patients in terminal renal failure from 9 months to 2 years after an initially successful subtotal parathyroidectomy. In all cases we find temporary remission of clinical signs of hyperparathyreoidism after surgery. Our clinical experience provided by followup in these patients showed an insufficient biochemical and clinical control. We find recurrence in 3 cases and repeat neck exploration was indicated for 2 patients.
9例终末期肾衰竭患者在初次甲状旁腺次全切除术后9个月至2年，有3例发生复发性甲状旁腺功能亢进。在所有病例中，我们发现术后甲状旁腺功能亢进的临床症状出现暂时缓解。我们对这些患者进行随访所获得的临床经验表明，生化指标和临床症状的控制并不充分。我们发现有3例复发，2例患者需要再次进行颈部探查。
