超声在继发性甲状旁腺功能亢进行腔镜下甲状旁腺切除术术前诊断中的应用  

The applications of ulrtasonography for diagnosising secondary hyperparathroidism in laparoscopic operation

作　　者：杨凤[1] YANG Feng(Department of Ultrasound,The Sesond Affiliated Hospital of Anhui Medical University,Hefei,Anhui 230601,China)

机构地区：[1]安徽医科大学第二附属医院超声诊断科,安徽合肥230601

出　　处：《安徽医药》2020年第5期892-894,共3页Anhui Medical and Pharmaceutical Journal

摘　　要：目的探讨超声在继发性甲状旁腺功能亢进行腔镜下甲状旁腺切除术术前诊断中的应用价值。方法选取2018年3—6月安徽医科大学第二附属医院肾功能不全行维持性血液透析继发甲状旁腺功能亢进病人30例,30例病人均行腔镜下甲状旁腺切除术的术前超声检查,记录甲状旁腺位置、大小、数目,与手术及病理结果对比,并分析甲状旁腺增生的二维声像图特点及血流情况。结果超声可清晰显示增生甲状旁腺结节的大小、部位、内部回声及血流情况,30例病人均检出甲状旁腺,超声共检出甲状旁腺腺体95枚,腔镜手术病理证实为增生腺体114枚,超声与腔镜手术符合率为83.3%。结论超声对继发性甲状旁腺功能亢进行腔镜下甲状旁腺切除术的术前诊断、定位有重要临床意义。Objective To evaluate the clinical value of ultrasonography for diagnosing secondary hyperparathroidism in laparo scopic operation.Methods Thirty patients underwent ultrasonography before aparoscopic operation.The location,size,number were recorded and compared The histopathology,two dimensional ultrasonography and color flow of secondary hyperparathyroid ism were analyzed.Results The ultrasonography could have a clear view on:nodule size,location,internal echo and the distribu tion of blood flow.The parathyroid glands of 30 patients were detected,95 parathyroid glands were found by ulrtasonography,114 parathyroid glands were proved by laparoscopic operation and pathology,and with the coincidence rate of 83.3%to paroscopic op eration.Conclusion Ultrasonography of secondary hyperparathroidism is valuable for preoperative localization and diagnosis.

关 键 词：甲状旁腺功能亢进症 继发性 超声检查 内窥镜检查 

分 类 号：R653[医药卫生—外科学]