Risk factors of recurrence after ultrasound-guided thermal ablation for treating uremia secondary hyperparathyroidism / 中国介入影像与治疗学
Chinese Journal of Interventional Imaging and Therapy
; (12): 735-739, 2023.
Article
in Zh
| WPRIM
| ID: wpr-1024430
Responsible library:
WPRO
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.
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Index:
WPRIM
Language:
Zh
Journal:
Chinese Journal of Interventional Imaging and Therapy
Year:
2023
Type:
Article