超声检查维持性血液透析患者继发性甲状旁腺功能亢进的临床价值  

Ultrasonography in Chronic Hemodialysis Patients Complicated with Secondary Hyperparathyroidism

作　　者：张淼[1] 郭瑞军[1] 梁晓宁[1] 姜晓红[1] 唐华[1] 徐利群[1] 

机构地区：[1]首都医科大学附属北京朝阳医院超声医学科,北京市100020

出　　处：《中国超声医学杂志》2007年第1期22-24,共3页Chinese Journal of Ultrasound in Medicine

摘　　要：目的了解维持性血透患者继发性甲状旁腺功能亢进的超声表现,探讨彩色多普勒超声在继发性甲状旁腺功能亢进诊治中的临床价值。方法对39例维持性血液透析且在1个月内检查过血清PTH患者进行甲状旁腺的超声检查,发现病灶后记录其部位、大小、数目及声像图特点,血流供应情况。结果39例维持性血透患者中,增大甲状旁腺检出率19例SHP组为47.37%,20例非SHP组有3例(15%)。增大甲状旁腺超声表现为边界清晰类圆形均质低回声结节。SHP患者17个病灶有丰富血供。结论超声检查对继发性甲状旁腺功能亢进手术治疗有定位诊断的价值,可为选择超声引导下介入治疗提供影像依据。Objective To evaluate the clinical value of ultrasonography in chronic （long term） hemodialysis patients with secondary hyperparathyroidism （SHP）. Methods Thirty-nine patients underwent color Doppler uhrasonography, The location, size, number and echoes of enlarged parathyroid （PT） were noted. The results of uhrasonography were compared with serum parathyroid hormone （PTH）. PTH≥300 mg/dl was defined as SHP. Thirty-nine patients were divided into SHP group （19 patients） and non SHP group （20 patients）. Results Twenty enlarged PT were detected in 39 patients. In the SHP group, enlarged PT was detected in 9 patients with detection rate of 47.37% while in non SHP group, enlarged PT was detected in 3 patients with the rate of 15%. The ultrasound manifestations of PT were homogeneous hypoechoic nodules in roundish shape with clear border. Conclusions Ultrasound is an effective method for localization before parathyroidectomy and can provide ultrasonic basis for interventional therapy under ultrasound guidance.

关 键 词：彩色多普勒超声 继发性甲状旁腺功能亢进 血液透析 

分 类 号：R459.5[医药卫生—治疗学] R445.1[医药卫生—临床医学]