慢性肾脏病透析患者继发转移性钙化的临床相关因素.pdf

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1、中国医学影像技术2014年第3O卷第9期ChinJMedImagingTechnol，2014，Vol30，No9·1387·◆◆◆骨骼肌肉影像学ClinicalrelevantfactorsofsecondarymetastaticcalcificationinchronickidneydiseasepatientsafterdialysisCHENJie，ZHUAn—hui，yUHai—tao，WANGMing—liang，ZHANGXiao-jin(DepartmentofRadiology，theCentralHospita

2、lofChinaAerospaceCorporation，Beijing100049，China)[Abstract]ObjectiveToexploretheclinicalrelevantfactorsofmetastaticcalcificationinpatientsofchronickidneydis—easecomplicatedsecondaryhyperparathyroidismbonediseaseafterdialysis．MethodsDataof36patientsofchronickidneydiseas

3、ecomplicatedwithsecondaryhyperparathyroidismbonediseasewithmetastaticcalcificationwereretrospectivelyana—lyzed．Therewere19patientsreceivingdialysisfor<10years(short—termdialysisgroup)and17patientsfor≥10years(1ong—termdialysisgroup)．Theincidenceofmetastaticcalcification

4、werecalculatedandcomparedbetweenthetwogroups．Simplecorrelationanalysiswasusedtoevaluatecorrelationofmetastaticcalcificationandcliniealfactorssuchasdialysistime，bloodcalcium，bloodphosphorus，calcium-phosphorusproductandbloodintactparathyroidhormone(iPTH)．ROCcurvewasdrawn

5、toassesstheabilityofdialysistime，bloodcalcium，bloodphosphorusandbloodintactparathyroidinpre—dietingmetastaticcalcification．ResultsThecalcificationincidenceofsofttissue(15．26％[29／190])andvascular(22．11[42／190])inshort—termdialysisgroupwerebothstatisticallylowerthanthose

6、inlong—termdialysisgroup(22．35％[38／170]and31．76[54／170]，bothP

7、edwithdialysistimeinlong—termdialysisgroup(allP>O．05)．Thenum—berofsofttissuecalcification，vascularcalcificationandthetotalnumberofcalcificationwasnocorrelationwithbloodcalci—um。bloodphosphorus。calcium-phosphorusproductandbloodiPTHinbothtwogroups(allP>O．05)．Theabilityof

8、di—alysistimeandbloodiPTHwashighinpredictingmetastaticcalcificationwithareaunderROCcurve(AUC)of0．97and0．88(bothP