بررسی نتایج پاراتیروئید کتومی در بیماران دیالیزی مبتلا به استئودیستروفی کلیوی

A known complication of chronic renal failure (CRF) is osteodystrophy. In order to determine the effects of parathyroidectomy on treatment and prevention of osteodystrophy progression in patients with CRF, a retrospective study was carried out in 16 hemodialysis patients. 62% of the patients underwent total, 12% subtotal and 26% total parathyroidectomy with simultaneous autograft in shahid Rahnamoon, hospital during 1983-1993. There was no recurrence of symptoms in any of the patients. Hypocalcemia was found in 40% and hypophosphatemia in 30% of the patients with total parathyroidectomy without autograft and in one of the cases who had subtotal parathyroidectomy. It is therefore concluded that total parathyroidectomy with autograft is superior to other conventional procedures, in the management of this complication