原发性甲状旁腺功能亢进性骨病的影像学诊断  

The imaging diagnosis of skeletal disease in primary hyperparathyroidism

作　　者：田军[1] 张建梅[1] 王家臣[1] 

机构地区：[1]山东省医学影像学研究所,山东济南250021

出　　处：《医学影像学杂志》2006年第11期1189-1191,共3页Journal of Medical Imaging

摘　　要：目的:探讨原发性甲状旁腺功能亢进性骨病的影像学诊断。方法:对病理证实的14例甲状旁腺腺瘤患者多个骨骼部位的影像资料进行回顾性分析,包括14例平片,5例局部CT片、1例骨盆MRI。结果:骨质疏松14例(100%)、骨膜下骨吸收12例(85.7%);纤维囊性骨炎11例(78.5%);病理性骨折8例(57.1%);软骨下骨吸收7例(50.0%);骨骼畸形5例(41.6%);所有病例均为多骨受累。结论:甲状旁腺功能亢进性骨病的早期表现为骨质疏松,骨膜下骨吸收为进展期特征性征象,是诊断PHPT骨病的可靠征象。Objective：To study the imaging features of skeletal disease in primary hyperparathyroidism.Methods：The skeletal radiography displays of 14 patients with primary hyperparathyroidism were analyzed retrospectively. Further examination of spiral CT in 5 patients, MR in one patient. All patients were found a parathyroid adenoma by US or CT and pathologically proved. Results： Osteoporosis 14 cases （100%）;Subperiosteal bone absorption 12 cases （85.7%）; Fibrocystic ostitis （brown tumor） llcases （78.5%）; Pathological fracture 8 cases （57.1% ） ; Subarficular bone absorption 7 cases （50.0%）, Skeletal deformity 5 cases （41.6%） ; All the cases were polyostic involvement. Conclusion：The early manifestations of primary hyperparathyroidism is osteoporosis. The subperiosteal bone abserption was characteristic and useful radiological sign in the advanced stage of the primary hyperparathyroidism.

关 键 词：甲状旁腺功能亢进 囊性骨炎 影像学诊断 

分 类 号：R681[医药卫生—骨科学] R445[医药卫生—外科学]