【摘要】 目的：觀察甲状旁腺切除术(parathyroidectomy，PTX)对伴有继发性甲状旁腺功能亢进(secondary hyperparathyroidism，SHPT)的维持性血液透析患者生存质量的影响。方法：选取30例继发性甲状旁腺功能亢进的维持性血液透析患者，手术切除甲状旁腺，采用中文版简明健康测量量表(medical outcomes study 36-item short-form health survey，SF-36)评估甲状旁腺切除手术前及术后1年患者生存质量，并检测手术前及手术后1年血钙、磷及全段甲状旁腺(iPTH)水平。结果：术后1年患者血钙、血磷及iPTH水平较术前明显下降，SF-36各维度评分与术前比较均有提高(P<0.05)。结论：PTX有助于改善合并SHPT的维持性血液透析患者的生存质量。

    【关键词】 继发性甲状旁腺功能亢进； 维持性血液透析患者； 甲状旁腺切除术； 生存质量

    【Abstract】 Objective：To observe the effects of parathyroidectomy (PTX) on quality of life in maintenance hemodialysis patients with secondary hyperparathyroidism.Method：PTX was performed for 30 maintenance hemodialysis patients with secondary hyperparathyroidism(SHPT).The medical outcomes study 36-item short-form health survey( SF-36)was used to evaluate quality of life before and one year after PTX.Serum calcium (Ca) ......