继发性甲状旁腺功能亢进(secondary hyperparathyroidism,SHPT)是慢性终末期肾病的常见并发症,多数患者通过充分透析、补充钙制剂和活性维生素D可以有效控制病程进展。药物治疗是控制继发性甲状旁腺功能亢进症的主要方法,且疗效较为肯定,但有相当数量的患者药物疗效不理想,且临床症状和体征严重影响生存质量,推荐选择手术治 Secondary hyperparathyroidism (SHPT) is a common complication of chronic end-stage renal disease, and most patients can effectively control the course of disease by adequate dialysis, calcium supplementation and active vitamin D treatment. Drug treatment is the main method to control secondary hyperparathyroidism, and the effect is more positive, but a considerable number of patients with poor efficacy of the drug, and clinical symptoms and signs of serious impact on quality of life, the recommended choice of surgical treatment