DIAGNOSIS AND TREATMENT OF PRIMARY AND SECONDARY HYPERPARATHYROIDISM

M F Zarivchatsky; S A Blinov; S A Denisov; A P Kolevatova; A B Dilman; N S Teplykh

doi:10.17816/pmj32413-18

Perm Medical Journal ›› 2015, Vol. 32 ›› Issue (4) :13 -18. DOI: 10.17816/pmj32413-18

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DIAGNOSIS AND TREATMENT OF PRIMARY AND SECONDARY HYPERPARATHYROIDISM

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Abstract

Aim. To improve the results of treatment in patients with primary and secondary hyperthyroidism. Materials and methods. During the period of 2001-2014 we operated 24 patients with primary hyperthyroidism and 38 patients with secondary hyperthyroidism. Results. No complications were observed in the early and follw-up postoperative periods. In the postoperative period patient's health status was monitored. Hypocalcemia was detected in 39 out of 62 patients; it was compensated by intake of calcium preparations during 2-3 weeks. Conclusions. To improve the results of treatment in patients with hyperparathyroidism, screening investigations of risk groups and patients undergoing program hemodialysis are required. Substruction scintigraphy is an obligatory method for preoperative examination of patients with hypothyroidism. Adequate preoperative preparation permits to prevent the intraoperative complications connected with hormonal disorders.

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Hyperparathyroidism / parathyroidectomy / substraction scintigraphy

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M F Zarivchatsky, S A Blinov, S A Denisov, A P Kolevatova, A B Dilman, N S Teplykh. DIAGNOSIS AND TREATMENT OF PRIMARY AND SECONDARY HYPERPARATHYROIDISM. Perm Medical Journal, 2015, 32(4): 13-18 DOI:10.17816/pmj32413-18

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