Risk factors of recurrence after ultrasound-guided thermal ablation for treating uremia secondary hyperparathyroidism
10.13929/j.issn.1672-8475.2023.12.008
- VernacularTitle:超声引导下热消融治疗尿毒症继发性甲状旁腺功能亢进症后复发的危险因素
- Author:
Jianguang GAN
1
;
Zhaoyan DENG
;
Qiulin LI
;
Xuequn YANG
;
Yingying QIN
;
Yuanxia JIANG
;
Jian LI
;
Zhenhua YANG
Author Information
1. 玉林市第一人民医院肾内科,广西 玉林 537000
- Keywords:
hyperparathyroidism,secondary;
ablation techniques;
ultrasonography
- From:
Chinese Journal of Interventional Imaging and Therapy
2023;20(12):735-739
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the risk factors of recurrence after ultrasound-guided thermal ablation for treating uremia secondary hyperparathyroidism(SHPT).Methods Totally 59 patients with uremia SHPT who underwent ultrasound-guided thermal ablation were enrolled,including 23 cases with(relapse group)and 36 without SHPT recurrence(non relapsed group).Clinical data were compared between groups,univariate and multivariate logistic regression analysis were performed to screen independent risk factors of SHPT recurrence.Results There were significant differences of serum free thyroxine(FT4),urea,intact parathyroid hormone(iPTH)1 day after ablation,1 day decrease rate of iPTH,the maximum diameter of the largest nodule,ablation time,total ablation energy,energy to volume ratio and the proportion of 1 day decrease rate of iPTH≤90%between groups(all P＜0.05).Higher urea,lower energy to volume ratio and 1 day decrease rate of iPTH≤90%were all independent risk factors of SHPT recurrence(all P＜0.05).Conclusion Higher urea,lower energy to volume ratio and 1 day decrease rate of iPTH≤90%were independent risk factors of recurrence after ultrasound-guided thermal ablation for treating uremia SHPT.
