속발성 부갑상선 기능항진증의 수술적 치료경험 2예

Abstract

Secondary hyperparathyroidism is the condition is which increased parathyroid hormone(PTH) is secreted to compensate for a chronically low calcium level and chronic renal failure is the most common cause. In 1934, Albreight reported an assocition between hyperparathyroidism and the chronic renal failure and in 1960, stanbury first reported subtotal parathyroidectomy in the treatment of secondary hyperparathyroidism. The physiologic mechanisms leading to secondary hyperparathyroidism in the chronic renal failure are well known and relatively well controled with medical management, but sometimes may necessitate surgical intervention in medically intractable cases. In Korea, the surgery of secondry hyperparathyroidism is not frequently done yet as in western countries. We experienced two cases of secondary hyperparathyroidism recently and report its results of subtotal parathyroidectomy.

Secondary hyperparathyroidism is the condition is which increased parathyroid hormone(PTH) is secreted to compensate for a chronically low calcium level and chronic renal failure is the most common cause. In 1934, Albreight reported an assocition between hyperparathyroidism and the chronic renal failure and in 1960, stanbury first reported subtotal parathyroidectomy in the treatment of secondary hyperparathyroidism. The physiologic mechanisms leading to secondary hyperparathyroidism in the chronic renal failure are well known and relatively well controled with medical management, but sometimes may necessitate surgical intervention in medically intractable cases. In Korea, the surgery of secondry hyperparathyroidism is not frequently done yet as in western countries. We experienced two cases of secondary hyperparathyroidism recently and report its results of subtotal parathyroidectomy.