继发性甲状旁腺功能亢进围手术期多学科综合诊治华西共识

·130.Chinese Joumal of Bases and Clinics in General Surgery,Feb.2023,Vol.30,No.2·专家共识·继发性甲状旁腺功能亢进围手术期▣多学科综合诊治华西共识▣郑洵，卢春燕2，周莉3，石运莹3，欧晓红，王罩2，姜春玲5，卢强6，于波洋6，王勉？刘芳3，周科4，钟慧，李志辉，四川大学华西医院甲状旁腺MDT诊疗团队1.四川大学华西医院甲状腺外科（成都610041）2.四川大学华西医院内分泌代谢科（成都610041）3.四川大学华西医院肾脏内科（成都610041）4.四川大学华西医院核医学科（成都610041）5.四川大学华西医院麻醉科（成都610041）6.四川大学华西医院超声科（成都610041）7.四川大学华西医院心脏内科（成都610041）【摘要】为规范继发性甲状旁腺功能亢进治疗，切实满足实际临床工作的需要，我们召集四川大学华西医院甲状腺外科、肾脏内科、内分泌代谢科、核医学科、超声科、麻醉科、心脏内科等科室专家和护理专家，广泛征求意见，以国内外已发表的指南和中英文最佳证据为依据，并结合临床实践，最终制定本共识。本共识旨在最大程度对继发性甲状旁腺功能亢进围手术期诊疗可能遇到的实际问题进行总结和归纳，并提供临床实践建议。【关键词】继发性甲状旁腺功能亢进；围手术期；慢性肾功能衰竭；手术指征；共识Perioperative multidisciplinary integrated diagnosis and treatment of secondaryhyperparathyroidism:a consensus from West China HospitalZHENG Xun',LU Chunyan2,ZHOU Li3,SHI Yunying3,OU Xiaohong',WANG Qin2,JIANG Chunling5,LU Qiang5,YU Boyang5,WANG Mian7,LIU Fang3,ZHOU Ke,ZHONG Hui3,LI Zhihui',MDT forParathyroid Disease from West China Hospital of Sichuan University1.Department ofThyroid Surgery.West China Hospital Sichuan Univrsity.Chengdu 610041.P.R.China2.Department of Endocrinology and Metabolism,West China Hospital Sichuan University,Chengdu 610041,P.R China3.Department of Nephrology.West China Hospital Sichuan University,Chengdu 610041,P.R.China4.Department of Nuclear Medicine,West China Hospital,Sichuan University,Chengdu 610041,P.R China5.Department of Anesthesiology,West China Hospital,Sichuan University,Chengdu 610041,P.R.China6.Department of Ultrasound West China Hospital,Sichuan University,Chengdu 610041,P.R.China7.Department of Cardiology,West China Hospital,Sichuan University,Chengdu 610041.P.R.ChinaCorresponding author:LI Zhihui Email:rockoliver@vip_sina.com[Abstract To standardize the treatment of secondary hyperparathyroidism and effectively meet the needsof practical clinical work,we gathered experts and nursing experts from Departments of Thyroid Surgery,Nephrology,Endocrinology and Metabolism,Nuclear Medicine,Ultrasound,Anesthesiology,Cardiology,and otherdepartments at West China Hospital of Sichuan University to solicit opinions.This consensus was finally establishedbased on published guidelines and the best evidence in Chinese and English combined with clinical practice.Thisconsensus is intended to summarize and conclude,to the greatest extent possible,the practical issues encountered indiagnosing and treating secondary hyperparathyroidism in perioperative settings and to provide recommendations forclinical practiceKeywords secondary hyperparathyroidism;perioperative period;chronic renal failure;surgical indication;consensusD0I:10.75071007-9424.202301017通信作者：李志辉，Email:rockoliver@vip.sina.comhttp://www..ge nsurg..cm