Influencing factors of early hypocalcemia after microwave ablation for treating secondary hyperparathyroidism
10.13929/j.issn.1003-3289.2024.09.011
- VernacularTitle:微波消融治疗继发性甲状旁腺功能亢进症后早期低钙血症的影响因素
- Author:
Jiahao WU
1
;
Chun LI
;
Zhixing LIU
;
Ga LIU
;
Jiajie LYU
Author Information
1. 南昌大学第一附属医院超声医学科,江西南昌 330000
- Keywords:
hyperparathyroidism,secondary;
hypocalcemia;
ablation techniques;
ultrasonography
- From:
Chinese Journal of Medical Imaging Technology
2024;40(9):1327-1331
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the influencing factors of early hypocalcemia after microwave ablation(MWA)for treating secondary hyperparathyroidism(SHPT).Methods Data of 82 SHPT patients who underwent MWA were retrospectively analyzed.The patients were divided into hypocalcemia group(n=36)and non-hypocalcemia group(n=46)based on presence of early hypocalcemia after MWA or not.Patients'age,gender,body mass index(BMI),dialysis method,dialysis time and number of lesions were compared between groups,so were baseline blood calcium,blood phosphorus,intact parathyroid hormone(iPTH),alkaline phosphatase(ALP),hemoglobin,albumin,creatinine,uric acid and 2 5-hydroxy vitamin D3.Logistic analysis was performed to screen the influencing factors of early hypocalcemia after MWA.Results Significant differences of dialysis methods,number of lesions,blood calcium,iPTH and ALP were found between groups(all P＜0.05).Univariate and multivariate logistic regression analysis showed that the number of lesions,iPTH and ALP were all independent influencing factors of early hypocalcemia after MWA for treating SHPT(all P＜0.05).Conclusion The number of lesions,iPTH and ALP were influencing factors of early hypocalcemia after MWA for treating SHPT.
