Factors predictive of critical value of hypocalcemia after total parathyroidectomy without autotransplantation in patients with secondary hyperparathyroidism
单位：[1]Department of Breast and Thyroid Surgery, China-Japan Friendship Hospital, Beijing, China[2]Department of Nephrology, China-Japan Friendship Hospital, Beijing, China
Background: Severe hypocalcemia is the most dangerous complication occurring after total parathyroidectomy without autotransplantation (TPTX) for secondary hyperparathyroidism (SHPT). We aim to identify the prevalence and potential risk factors of very severe hypocalcemia in patients with SHPT undergoing TPTX.Methods: From April 2012 to August 2015, 157 patients with SHPT undergoing TPTX were reviewed. The critical value of hypocalcemia (CVH) was postoperative serum Ca2+ levels of 1.5mmol/L.Results: Univariate analysis showed that patients in the CVH group were significantly younger than those in the non-CVH group. Sex ratio was significantly different between the two groups. The CVH group had significantly higher levels of preoperative PTH and ALP. Male sex and preoperative levels of PTH and ALP were significant independent risk factors by logistic regression analysis.Conclusions: Male sex, preoperative PTH and ALP were significantly associated with CVH in patients with SHPT undergoing TPTX.
基金：
China-Japan Friendship Hospital Youth Science and Technology Excellence Project [2014-QNYC-A-08]; capital characteristic clinic project [Z151100004015112, Z151100004015244]
第一作者单位：[1]Department of Breast and Thyroid Surgery, China-Japan Friendship Hospital, Beijing, China
通讯作者：
通讯机构：[1]Department of Breast and Thyroid Surgery, China-Japan Friendship Hospital, Beijing, China[*1]Department of Breast and Thyroid Surgery, China-Japan Friendship Hospital, Beijing 100029, China
推荐引用方式(GB/T 7714)：
Yang Meng,Zhang Ling,Huang Linping,et al.Factors predictive of critical value of hypocalcemia after total parathyroidectomy without autotransplantation in patients with secondary hyperparathyroidism[J].RENAL FAILURE.2016,38(8):1224-1227.doi:10.1080/0886022X.2016.1202731.
APA：
Yang, Meng,Zhang, Ling,Huang, Linping,Sun, Xiaoliang,Ji, Haoyang&Lu, Yao.(2016).Factors predictive of critical value of hypocalcemia after total parathyroidectomy without autotransplantation in patients with secondary hyperparathyroidism.RENAL FAILURE,38,(8)
MLA：
Yang, Meng,et al."Factors predictive of critical value of hypocalcemia after total parathyroidectomy without autotransplantation in patients with secondary hyperparathyroidism".RENAL FAILURE 38..8(2016):1224-1227
