{"created":"2023-05-15T09:02:44.425621+00:00","id":3606,"links":{},"metadata":{"_buckets":{"deposit":"78cb91c2-29b2-44a5-a1c2-710f96fb3ef7"},"_deposit":{"created_by":3,"id":"3606","owners":[3],"pid":{"revision_id":0,"type":"depid","value":"3606"},"status":"published"},"_oai":{"id":"oai:hirosaki.repo.nii.ac.jp:00003606","sets":["557:561:642"]},"author_link":["11649","11638","11636","11634","11641","11651","11646","11642","11637","11635","11631","11639","11644","11647","11643","11645","11633","11632","11650","11640","11648"],"item_5_alternative_title_21":{"attribute_name":"その他のタイトル","attribute_value_mlt":[{"subitem_alternative_title":"Recurrence after Parathyroidectomy in Dialisis Patients with Secondary Hyperparathyroidism"}]},"item_5_alternative_title_22":{"attribute_name":"タイトル（ヨミ）","attribute_value_mlt":[{"subitem_alternative_title":"トウセキ カンジャ ノ ニジセイ フクコウジョウセイ キノウ コウシンショウ ニ タイスル フクコウジョウセン テキシュツ ジュツゴ ノ サイハツ ニツイテ"}]},"item_5_biblio_info_8":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2008-03-31","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"2/3/4","bibliographicPageEnd":"70","bibliographicPageStart":"65","bibliographicVolumeNumber":"59","bibliographic_titles":[{"bibliographic_title":"弘前医学"}]}]},"item_5_description_17":{"attribute_name":"フォーマット","attribute_value_mlt":[{"subitem_description":"application/pdf","subitem_description_type":"Other"}]},"item_5_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"透析患者の進行した二次性副甲状腺機能克進症(SHPT)に対して副甲状腺全摘出術後自家移植術(PTx･AT) が行われている,副甲状腺の局在部位は一定せず,4腺以上存在する例もあるので,最初の手術で全摘出できないこともある.時にPTx･AT後残存腺や移植腺からのPTH分泌克進によりSHPTが再発する.われわれはPTx･AT後の再発率を検討した.対象は92例,101回のPTxである.摘出腺数と手術翌日の血清PTHにより5群に分けた.捕出腺数とpTH (pg/ml) は平均値でそれぞれ,A群4.1,15,B群4.1,280,C群2.8.29,D群2.8,371およびE秤(再手術例)1.4,28であった.再発の基準はPTH>300pg/mlとした.手術翌日PTH<60pg/mlのA,CおよびE群の再発率はそれぞれ11.9,20.0,16.6%と低く,手術翌日PTH≧60pg/mlのBおよびD群では再発率は約70%と高かった.再発時のPTH産生はA,C群およびE群ではほとんどが移植腺,BおよびD群では残存腺であった.","subitem_description_type":"Abstract"}]},"item_5_description_7":{"attribute_name":"引用","attribute_value_mlt":[{"subitem_description":"弘前医学. 59, 2008, p.65-70","subitem_description_type":"Other"}]},"item_5_full_name_2":{"attribute_name":"著者(ヨミ)","attribute_value_mlt":[{"nameIdentifiers":[{"nameIdentifier":"11638","nameIdentifierScheme":"WEKO"}],"names":[{"name":"テラヤマ, ユリコ"}]},{"nameIdentifiers":[{"nameIdentifier":"11639","nameIdentifierScheme":"WEKO"}],"names":[{"name":"ストウ, ミホコ"}]},{"nameIdentifiers":[{"nameIdentifier":"11640","nameIdentifierScheme":"WEKO"}],"names":[{"name":"ツシマ, メグミ"}]},{"nameIdentifiers":[{"nameIdentifier":"11641","nameIdentifierScheme":"WEKO"}],"names":[{"name":"ヤマヤ, 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Kidney Research Institute"},{"subitem_text_value":"Oyokyo Kidney Research Institute"},{"subitem_text_value":"Oyokyo Kidney Research Institute"},{"subitem_text_value":"Oyokyo Kidney Research Institute"},{"subitem_text_value":"Oyokyo Kidney Research Institute"},{"subitem_text_value":"Oyokyo Kidney Research Institute"},{"subitem_text_value":"Oyokyo Kidney Research Institute"}]},"item_5_version_type_18":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"寺山, 百合子"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"須藤, 美穂子"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"對馬, 惠"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"山谷, 金光"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"齋藤, 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