甲状旁腺癌与甲状旁腺腺瘤的超声鉴别诊断  

Differential diagnosis by ultrasound between parathyroid carcinoma and parathyroid adenoma

作　　者：张晓鸽[1] 樊玉霞[2] 滑少华[1] ZHANG Xiaoge;FAN Yuxia;HUA Shaohua(Department of Ultrasound,the First Affiliated Hospital,Zhengzhou University,Zhengzhou 450052;Department of Thyroid Surgery,the First Affiliated Hospital,Zhengzhou University,Zhengzhou 450052)

机构地区：[1]郑州大学第一附属医院超声医学科,郑州450052 [2]郑州大学第一附属医院甲状腺外科,郑州450052

出　　处：《郑州大学学报（医学版）》2024年第1期130-133,共4页Journal of Zhengzhou University(Medical Sciences)

基　　金：河南省中青年卫生健康科技创新领军人才培养项目(YXKC2022010)。

摘　　要：目的:分析超声鉴别甲状旁腺癌和甲状旁腺腺瘤的价值。方法:回顾性分析2016年1月至2021年12月于郑州大学第一附属医院经手术切除明确诊断的甲状旁腺肿瘤患者的临床资料,其中甲状旁腺癌21例,腺瘤27例。比较两组的超声征象。结果:甲状旁腺癌组男性患者比例高于腺瘤组,右下病变占比低于腺瘤组,超声回声为囊实性、血流为3级、有钙化的患者比例高于腺瘤组(P<0.05)。超声对甲状旁腺癌和腺瘤鉴别诊断的敏感度为85.71%,特异度为74.07%,约登指数为0.60。结论:超声检查对甲状旁腺癌及腺瘤具有一定的鉴别诊断价值。Aim:To study the differential diagnosis value of ultrasound between parathyroid carcinoma and parathyroid adenoma.Methods:Clinical data of 48 patients with parathyroid tumors diagnosed by pathology after surgical resection in the First Affiliated Hospital of Zhengzhou University from January 2016 to December 2021 were retrospectively analyzed,including 21 cases of parathyroid carcinoma(cancer group)and 27 cases of parathyroid adenoma(adenoma group).The ultrasound images were compared.Results:Compared with adenoma group,the proportion of male,cystic-solid echo,abundant blood supply,often accompanied by calcification in cancer group was higher,and that with lesion in bottom-right position in cancer group was lower(P<0.05).The sensitivity,specificity and Youden index of differential diagnosis were 85.71%,74.07%and 0.60,respectively.Conclusion:Ultrasound could play a role in identification of parathyroid carcinoma and adenoma.

关 键 词：甲状旁腺癌 甲状旁腺腺瘤 超声检查 鉴别诊断 

分 类 号：R736.2[医药卫生—肿瘤]