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慢性肾脏病(CKD),特别是终末期肾衰(ESRF)患者均不同程度合并肾性骨病。肾性骨病可分为高转化型及低转化型(包括无动力型)骨病。这两型骨病在临床表现及治疗上差异的极大。前者可采用活性维生素D(VitD)治疗及外科干预切除甲状旁腺,而后者如采用活性VitD治疗则可能加重病情及软
Chronic kidney disease (CKD), especially those with end-stage renal failure (ESRF), have varying degrees of renal osteodystrophy. Renal osteodystrophy can be divided into high-conversion and low-conversion (including non-powered) bone disease. These two types of bone disease in the clinical manifestations and treatment of great differences. The former can be treated with active vitamin D (VitD) and surgical intervention to remove the parathyroid gland, while the latter, such as the use of active VitD treatment may aggravate the condition and soft