grekovВестник хирургии имени И.И. ГрековаGrekov's Bulletin of Surgery0042-46252686-7370Federal State Budgetary Educational Institution of Higher Education «Academician I.P. Pavlov First St. Petersburg State Medical University» of the Ministry of Healthcare of the Russion Federation, FSBEI HE I.P.Pavlov SPbSMU MOH Russia10.24884/0042-4625-2013-172-2-043-046grekov-734Research ArticleХИРУРГИЯ ОРГАНОВ ЭНДОКРИННОЙ СИСТЕМЫSURGERY OF ORGANS OF ENDOCRINE SYSTEMПРОГРАММНЫЙ ПОДХОД К ЛЕЧЕНИЮ ВТОРИЧНОГО ГИПЕРПАРАТИРЕОЗА ПРИ ХРОНИЧЕСКОЙ БОЛЕЗНИ ПОЧЕКPROGRAMMED APPROACH TO THE TREATMENT OF SECONDARY HYPERPARATHYROIDISM IN CHRONIC RENAL DISEASEСамохваловаНаталья АнатольевнаSamohvalovaN. A.sna69@mail.ruМайстренкоНиколай АнатольевичMaystrenkoN. A.nik.m.47@mail.ruРомащенкоПавел НиколаевичRomashchenkoP. N.romashchenko@rambler.ruЛенинградская областная клиническая больницаРоссияLeningrad regional clinical hospitalRussian FederationВоенно-медицинская академия им. С. М. КироваРоссияKirov Military Medical AcademyRussian Federation20131601201817224346Copyright © Самохвалова Н.А., Майстренко Н.А., Ромащенко П.Н., 20182018Самохвалова Н.А., Майстренко Н.А., Ромащенко П.Н.Samohvalova N.A., Maystrenko N.A., Romashchenko P.N.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.vestnik-grekova.ru/jour/article/view/734

Prevalence and course of secondary hyperparathyroidism were studied in 616 patients with chronic renal disease. Disorders of mineral metabolism, which develop when person has chronic renal disease, appear at the early stage of the disease. They practically cannot be corrected on predialytic stage of treatment and lead to the development of parathyroid adenoma in patients with substitutive renal therapy by hemodialysis, that requires surgical treatment. Disorders of mineral metabolism regress after successful transplantation of the kidney practically in all cases.

хроническая болезнь почеквторичный гиперпаратиреозгемодиализпаратиреоидэктомияchronic renal diseasesecondary hyperparathyroidismhemodialysisparathyroidectomyReferencesЕрмоленко В. М. Фосфорно-кальциевый обмен и почки // Нефрология. Руководство для врачей / Под ред. И. Е. Тареевой. М.: Медицина, 2000. С. 62–75.Ермоленко В. М. Фосфорно-кальциевый обмен и почки // Нефрология. Руководство для врачей / Под ред. И. Е. Тареевой. М.: Медицина, 2000. С. 62–75.Самохвалова Н. А. Паратиреоидэктомия как метод профилактики деструкции костей у больных вторичным гиперпаратиреозом: Автореф. дис. … канд. мед. наук. СПб., 2009. 19 с.Самохвалова Н. А. Паратиреоидэктомия как метод профилактики деструкции костей у больных вторичным гиперпаратиреозом: Автореф. дис. … канд. мед. наук. СПб., 2009. 19 с.Clark O. Handbook of surgical endocrinology. 1999. Chapter 49. P. 394–433.Clark O. Handbook of surgical endocrinology. 1999. Chapter 49. P. 394–433.Demay M. B., Kiernan M. S., Deluca H. F. et al. Sequences in the human parathyroid hormone gene that bind the 1,25-dihydroxyvitamin D3 receptor and mediate transcriptional repression in response to 1,25-dihydroxyvitamin D3 // Proc. Natl. Acad. Sci. USA. 1992. Vol. 89. P. 8097–8101.Demay M. B., Kiernan M. S., Deluca H. F. et al. Sequences in the human parathyroid hormone gene that bind the 1,25-dihydroxyvitamin D3 receptor and mediate transcriptional repression in response to 1,25-dihydroxyvitamin D3 // Proc. Natl. Acad. Sci. USA. 1992. Vol. 89. P. 8097–8101.Drueke Т. В. A clinical approach to the uraemic patient with extrasceletal calcifications // Nephrol. Dial. Transplant. 1996. Vol. 11. P. 37–42.Drueke Т. В. A clinical approach to the uraemic patient with extrasceletal calcifications // Nephrol. Dial. Transplant. 1996. Vol. 11. P. 37–42.Fukagawa M. Resistance of parathyroid cell to calcitriol as a cause of parathyroid hyperfunction in chronic renal failure // Nephrol. Dial. Transplant. 1995. № 2. P. 316–319.Fukagawa M. Resistance of parathyroid cell to calcitriol as a cause of parathyroid hyperfunction in chronic renal failure // Nephrol. Dial. Transplant. 1995. № 2. P. 316–319.Ritz E., Stefanski A., Rambausek M. The role of the parathyroid glands in the uremic syndrome // Am. J. Kidney Dis. 1995. Vol. 26. Pt. 5. P. 808–813.Ritz E., Stefanski A., Rambausek M. The role of the parathyroid glands in the uremic syndrome // Am. J. Kidney Dis. 1995. Vol. 26. Pt. 5. P. 808–813.Yatsuka Н., Tominaga Y. Regulatory Subunit in Nodular Hyperplasia of Parathyroid in Patients with Chronic Renal Failure // Materials from conference of endocrinologist. Honkong, 2006. P. 39.Yatsuka Н., Tominaga Y. Regulatory Subunit in Nodular Hyperplasia of Parathyroid in Patients with Chronic Renal Failure // Materials from conference of endocrinologist. Honkong, 2006. P. 39.

The authors declare that there are no conflicts of interest present.