Abstract:

Ｏｂｊｅｃｔｉｖｅ：Parathyroidectomy (PTX) is the main method to treat refractory secondary hyperparathyroidism (SHPT).However,the safety of treating SHPT with PTX in patients with uremia remains controversial.The purpose of this study was to evaluate the safety of the operation in uremia patients.
Ｍｅｔｈｏｄｏｌｏｇｙ：A total of 1 000 maintenance hemodialysis patients who underwent PTX in our hospital from September 2008 to September 2017 were selected,of which total parathyroidectomy without autotransplantation (tPTX) was performed in 926 cases (926%),total parathyroidectomy with autotransplantation (tPTX+AT) was performed in 49 cases (49%)，other operations were performed in 25 cases（25%）.The incidence of complications and their recovery during PTX were retrospectively analyzed,and the perioperative safety of the patients was analyzed and summarized.
Ｒｅｓｕｌｔｓ：They were an average age of 470±112 years and an average age of dialysis was 920±434 months.Among them,perioperative death was in 2 cases,intraoperative bleeding in 28 cases,postoperative incision infection in 49 cases,laryngeal recurrent nerve injury in 24 cases,new oneself arrhythmia in 16 cases,acute left heart failure in 3 cases,arteriovenous fistula occlusion in 8 cases,hypocalcemia in 776 cases and  hyperkalemia in 247 cases.
Ｃｏｎｃｌｕｓｉｏｎ：
PTX is a safe method for the treatment of refractory uremia SHPT.

Key words: secondary hyperparathyroidismp, arathyroidectomy, complication