高频及多普勒超声诊断甲状旁腺腺瘤及其并发症的价值  

Value of high frequency and Doppler ultrasound in the diagnosis of parathyroid adenoma and its complications

作　　者：刘健[1] 黄道中[1] 张青萍[1] 周元媛[1] 

机构地区：[1]华中科技大学同济医学院附属同济医院超声影像科,湖北武汉430030

出　　处：《中国临床医学影像杂志》2006年第2期76-78,共3页Journal of China Clinic Medical Imaging

摘　　要：目的:探讨高频及多普勒超声诊断甲状旁腺腺瘤(PTA)及其并发症的价值。方法:回顾性分析了由超声检查发现并经手术证实的PTA12例,同时检查胆囊、胰腺、肾、输尿管、膀胱、前列腺及软组织剧烈疼痛处。结果:高频超声对甲状旁腺肿瘤的定位和定性非常重要,尤以12MHz探头对发现较小瘤体极有价值。彩色多普勒可提供肿瘤血供情况,有助于PTA与甲状腺腺瘤的鉴别。PTA合并肾结石7例,膀胱结石3例,胆结石2例,下肢软组织钙化1例,前列腺钙化2例,复发性胰腺炎并胰管结石1例。结论:高频及多普勒超声可较准确地诊断PTA及其并发症。Objective： To detect the value of high frequency ultrasound and Doppler ultrasound in diagnosing parathyroid adenoma（PTA） and complications. Methods： Twelve patients who had suffered parathyroid adenoma and undergone ultrasonography were reviewed. Their gallbladder, pancreas, kidney, ureter, bladder, prostate and painful soft tissue were examined by ultrasound. Results- High frequency probes are very useful in detection both the nature and the location of parathyroid adenoma. Moreover, we have found that 12MHz probe is more valuable than 7.5MHz probe in detection small masses. Color Doppler could provide more information about blood supply of the mass, and was very useful in differentiating parathyroid mass from thyroid tumor. In this study we found PTA complicated renal stone in 7 cases, bladder stones in 3 cases, gallbladder stone in 2 cases, lower exteremity soft tissue calcification in 1 case, prostate calcification in 2 cases, repeatedly pancreatitis and pancreatic stone in 1 case. Conclusion： High frequency ultrasound and Doppler ultrasound contributes to the diagnosis of PTA and its complications.

关 键 词：甲状腺肿瘤 超声检查 

分 类 号：R736.2[医药卫生—肿瘤] R445.1[医药卫生—临床医学]