原发性甲状旁腺功能亢进的定位诊断  

Localizing diagnosis of primary hyperparathyroidism

作　　者：周建平[1] 李昱骥[1] 董明[1] 孔凡民[1] 李继光[1] 郭克建[1] 田雨霖[1] 

机构地区：[1]中国医科大学附属第一医院普外二科,沈阳110001

出　　处：《中华普通外科杂志》2005年第4期227-228,共2页Chinese Journal of General Surgery

摘　　要：目的　探讨超声、ECT、CT和MRI对原发性甲状旁腺功能亢进(primaryhyperparathy roidism ,PHPT)的定位诊断价值。方法　回顾性分析1990年1月1日至2 0 0 4年3月31日34例手术治疗的PHPT患者的临床资料。结果　2 5例患者手术前行超声检查,其中2 2例手术前的超声定位与术中所见相符合,诊断的符合率为88%。2 1例患者手术前行ECT检查,其中2 0例患者与手术中所见相符合,诊断符合率为95 %。19例患者手术前行CT检查,13人与手术中定位相一致,诊断符合率6 9 %。3例患者手术前行MRI检查均发现病变并且与手术中所见相一致。结论　超声和99mTc MIBI应该作为首选的定位检查方法,尤其是二者联合应用可以提高定位诊断的准确率。Objective To evaluate the diagnostic value of US, ECT, CT and MRI in primary hyperparathyroidism (PHPT). Methods Data of 34 PHPT patients with diagnosis confirmed by postoperative pathology were retrospectively reviewed from January 1, 1990, through March 31, 2004. Results The preoperative diagnosis in 22 out of 25 cases (88%) undergoing preoperative ultrasonography of the neck with a positive result was verified by intraoperative findings. For 99m Tc-MIBI, CT and MRI, the positive results were 95%, 69% and 100% respectively. Conclusion Ultrasonography and 99m Tc-MIBI should be considered as the first choice for preoperative loci localization in patients with PHPT. Ultrasonography and 99m Tc-MIBI in combination is more sensitive and accurate for the localization of PHPT.

关 键 词：原发性甲状旁腺功能亢进 ^99MTC-MIBI 2004年3月31日 诊断符合率 MRI检查 定位诊断价值 术中所见 1990年 回顾性分析 手术前 ECT检查 临床资料 PHPT 手术治疗 超声检查 超声定位 术中定位 三维CT 患者 准确率 

分 类 号：R582[医药卫生—内分泌]