影像学对原发性甲状旁腺功能亢进骨病的诊断价值  

The diagnostic value of imaging to bone disease resulted from the primary hyperparathyroidism

作　　者：王勇[1] 胡新杰[2] 任伯绪[3] 

机构地区：[1]湖北省黄石市中心医院普爱院区CT室,湖北黄石435001 [2]湖北省荆州市第一人民医院放射科,湖北荆州434000 [3]长江大学医学院影像系,湖北荆州434023

出　　处：《医学影像学杂志》2014年第2期205-208,共4页Journal of Medical Imaging

摘　　要：目的研究原发性甲状旁腺功能亢进所致骨骼改变的特殊影像学征象(如好发骨骼影像学改变,特殊的病理学特征,性别差异),旨在提高对本病影像的诊断。方法对8例患者经手术病理证实为原发性甲状旁腺功能亢进所致骨改变的影像资料进行回顾性分析。结果所有患者均有广泛性骨质疏松改变,多部位受累及多种影像表现共存。其中骨质疏松8例,骨质破坏吸收6例,骨质软化2例,纤维囊性骨炎3例,软组织钙化1例,病理性骨折2例。结论中年女性患原发性甲状旁腺功能亢进机率高;骨质疏松多为发病早期的表现,骨膜下吸收为原发性甲状旁腺功能亢进进展期所特有,棕色瘤的出现标志着该病变已进入中晚期;从影像学角度分析其特有表现有利于正确诊断该病,并进一步确定病变程度,从而减少误诊,提高诊断率,明确病变程度,为临床医生提供正确的治疗方案提供影像学依据。Objective To study the special imaging signs of bone changes （such as good hair bone imaging changes and special pathological features, gender differences） resulting from the primary hyperparathyroidism, so as to improve the im- aging diagnosis. Methods We retrospectively analyzed the 8 cases with primary hyperparathyroidism diagnosised by change of bone imaging data. Results All patients had most of size of osteoporosis change and many parts involved, and coexisted multiple image performance. There were 8 patients with osteoporosis and 6 cases with 6 bone damage absorp- tion, and 2 cases with bone softening, 3 cases with bone inflammation of cystic fiber, 1 case with soft tissue calcification, 2 cases with pathologic fracture. Conclusion The incidence of middle-aged women with primary hyperparathyroidism is high probability. Osteoporosis is early performance onset. Only the patients with primary hyperparathyroidism progress period perfored periosteum absorption, the advanced stage of this desease is signed by the appearance of brown tumor. From the perspective of imaging to analyze its unique performance, it is helpful to the diagnosis of the disease correctly, and further to determine the degree of pathologic changes, which can reduce the misdiagnosis and improve the diagnostic accuracy, know clearly the degree of pathological changes, and provide the correct imaging basis for treatment for clinical doctors.

关 键 词：影像学 甲状旁腺功能亢进 骨病 诊断价值 

分 类 号：R582.1[医药卫生—内分泌] R814.42[医药卫生—内科学]