继发性甲状旁腺功能亢进的超声诊断  

The Ultrasonic Diagnosis for Secondary Hyperparathyroidism

作　　者：任冰冰 卓莉[2] 彭丽丽[3] 牛云[4] 姚力[5] 于明安[3] 吕明德[3] 

机构地区：[1]山东省青岛市黄岛中医医院超声科,青岛市266555 [2]北京中日友好医院肾内科 [3]北京中日友好医院介入超声中心 [4]北京中日友好医院病理科 [5]北京中日友好医院内镜中心

出　　处：《中国超声医学杂志》2016年第2期104-106,共3页Chinese Journal of Ultrasound in Medicine

基　　金：中日友好医院院内课题资助(No.2014-2-QN-16)

摘　　要：目的回顾分析继发性甲状旁腺功能亢进(SHPT)结节超声表现。方法回顾分析经核素证实的272例SHPT患者增生结节超声影像学特征,其中67例手术患者进行超声表现与术后病理相对照。结果本组272例患者SHPT结节总数596枚,415枚结节呈均匀低回声(69.6%),181枚结节呈高低不均匀回声(30.4%),部分结节内可见钙化(16%)和囊性变(5.4%)。67例患者行超声造影,所有结节动脉期均呈高增强(100%)。67例手术患者超声与病理对照显示,超声均匀低回声在病理表现均匀分布的主细胞和嗜酸性细胞,弹性成像表现为较硬的蓝色信号;不均匀回声病理表现为局部出血、变性和纤维化,弹性成像表现为蓝绿相间信号;超声中囊变和钙化在病理中也可见局部囊变和钙化。结论超声检查SHPT结节不同征象有其病理学基础,明确两者对应关系有利于术前全部、准确检出增生结节。Objective Retrospective summarizing the different ultrasound echo characteristics of secondary hyperparathyroidism（SHPT）nodules.Methods The ultrasound examination results of 272 SHPT cases were analyzed.The different echo signs were compared with results of pathology.Results There are 596 SHPT nodules in 272 patients.The even low echo were encountered in 415nodules（69.6%）,which showed blue signal in ultrasonic elasticity imaging and mainly consisted by proliferation of cells including chief cells and eosinocyte in pathology.The uneven echo were encountered in 181nodules（30.4%）,consisted by bleeding,degeneration and fibrosis in pathology.All of nodules had hyper-enhancement in arterial phase.Conclusions For SHPT nodules,the different signs of ultrasound corresponds various pathology characteristic.

关 键 词：继发甲状旁腺功能亢进 超声检查 病理 

分 类 号：R445.1[医药卫生—影像医学与核医学] R582.1[医药卫生—诊断学]