摘要
目的探讨高频彩色多普勒超声对甲状旁腺肿瘤的诊断价值.方法使用高频彩色多普勒超声对13例甲状旁腺肿瘤患者行直接法检查,其中甲状旁腺腺瘤7例、甲状旁腺腺癌3例及甲状旁腺囊肿3例.所有患者均经手术、病理证实.结果高频彩色多普勒超声诊断甲状旁腺肿瘤与病理诊断符合11例.13例患者病变均位于甲状腺下极背侧,超声显示病变为圆形或椭圆形,腺瘤与腺癌内部回声低;4例腺瘤中探及彩色多普勒血流信号;3例腺癌均探及丰富血流信号;3例甲状旁腺囊肿为无回声,内部无彩色多普勒血流信号.结论高频彩色多普勒超声对甲状旁腺肿瘤的定位与定性诊断具有重要临床价值,应作为术前首选诊断方法.
Objective To probe the value of high frequence color Doppler ultrasound in the diagno- sis of parathyroid tumor. Methods Thirteen cases with parathyroid tumors,including 7 cases with parathy- roid adenoma, 3 cases with parathyroid adenocarcinoma and 3 cases with parathyroid cyst, were detected directly by high frequence color Dopple ultrasound and all the cases were diagnosed pathologically after surgery. Results The results of 11 cases of tumors detected by high frequence color Doppler ultrasound were accordant with the results of pathological histology. All the focuses were in the dorsal part of thyroid lower pole and all the tumors were rounded or elliptic in shape. Adenomas and adenocarcinomas were in low echo and color Doppler blood signal was detected in 4 cases with adenoma and 3 cases with adenocarcinoma. Parathyroid cysts were echoless and no color Doppler blood signal was detected. Conclusions High frequence color Doppler ultrasound is of clinical significance in the orientational and qualitative diagnosis of parathyroid tumor and should be considered as the preferred diagnosis method.
出处
《中华医学超声杂志（电子版）》
2005年第5期273-274,共2页
Chinese Journal of Medical Ultrasound(Electronic Edition)
