彩色多普勒超声诊断继发性甲状旁腺功能亢进症的应用价值  

Application of color Doppler ultrasonography in secondary hyperparathyroidism

作　　者：马秀珠[1] 李春伶[1] 高永艳[1] 井茹芳[1] 董继红[1] 林俊莲[1] 

机构地区：[1]武警总医院南楼特诊科,北京100039

出　　处：《武警医学》2009年第4期319-321,共3页Medical Journal of the Chinese People's Armed Police Force

摘　　要：目的评价彩色多普勒超声对继发性甲状旁腺功能亢进时甲状旁腺增生的诊断价值。方法肾衰竭并伴有不同程度的血中全段甲状旁腺激素水平增高的患者36例,比较分析其术前彩色多普勒超声检查与手术和病理学诊断结果,并与核素检查对比观察。结果 36例中检出增生的甲状旁腺51枚。增生的甲状旁腺边界清晰,形态多样,呈极低回声改变,内部回声欠均匀,可见不同程度的钙化;分析后反映出增生的甲状旁腺个数、大小与血中全段甲状旁腺激素水平呈正相关,与血中肌酐、尿素氮无明显相关性。结论彩色多普勒超声是继发性甲状旁腺功能亢进症术前定位诊断的有效手段。Objective To evaluate the usefulness of color Doppler uhrasonography in detecting hyperplastic parathyroid in the patients with secondary hyperparathyroidism. Methods The outcome of colour Dopper ultrasonography before operation,the diagnosing results of histologic findings and observation of 99m-Tc-sestamibi scintigraphy in 36 patients with proved secondary hyperparathyroidism following chronic renal failure. Results Fifty - one hyperplastic parathyroids were found in 36 patients. The hyperplastic parathyroids were in focus with clear borderline, variety in shape, hypoechoic signals, asymmetrical inner resonance, diverse degree calcification. There was positive relationship between hyperplastic parathyroids and IPTH after analysing the amount,volume of hyperplastic parathyroids, and no relationship with urea and Cr. Conclusions Color Doppler nltrasonography is a useful means in preoperative localizing of secondary hyperparathyroidism.

关 键 词：彩色多普勒超声 继发性甲状旁腺功能亢进 全段甲状旁腺激素 

分 类 号：R582.1[医药卫生—内分泌] R445.1[医药卫生—内科学]