摘要
[目的]探讨高分辨率彩超对甲状旁腺病变的诊断价值.[方法]回顾性分析经手术病理证实的甲状旁腺疾病患者44例的超声影像资料,并分析甲状旁腺病灶的平均直径、周长、面积与血钙、血PTH的相关性.[结果]不同病理类型的甲状旁腺病变可见不同的声像表现：甲状旁腺腺瘤表现为在甲状腺后方可见低回声结节,包膜完整,边界清晰;甲状旁腺癌可呈分叶状、圆形或椭圆形的低回声肿块,常可向周围浸润,边界不清;甲状旁腺增生表现为多个甲状旁腺不同程度的增大,内部回声分布均匀,多为低回声,其内可见丰富血流信号;甲状旁腺囊肿表现为光滑壁薄的囊性结构,其内无血流信号.52个病灶中超声诊断与病理诊断符合率为75.00％（39/52）;甲状旁腺病灶的平均直径、周长、面积与血钙、血PTH均呈正相关性.[结论]高分辨率彩超对甲状旁腺疾病的诊断具有重要价值,已成为其首选的影像学检查方法,与临床资料结合有助于早期发现病变.
[Objective]To explore the diagnostic value of high-resolution color ultrasound in parathyroid diseases.[Methods] The ultrasound image materials of 44 patients with parathyroid diseases confirmed by operation and pathology were analyzed retrospectively.The correlation of mean diameter,perimeter and area with serum calcium and parathyroid hormone（PTH） was analyzed.[Results] Different image manifestations could be seen in different pathological types of parathyroid diseases.The ultrasonography of parathyroid adenoma showed low-echo node behind thyroid with complete envelope and clear boundary,and that of parathyroid cancer showed lobulated,round or ellipsoidal low-echo lump with peripheral infiltration and unclear boundary,and that of parathyroid hyperplasia showed different degree of multiple parathyroid enlargement,evenly distributed echo,and mainly low echo without cystic change but with abundant blood flow signal,and that of parathyroid cyst showed smooth and glossy cyst structure without blood flow signal.The diagnose accordance rate of ultrasonography and pathology in 52 lesions was 75.00％ （39/52）.The mean diameter,perimeter and area were positively correlated with serum levels of calcium and PTH.[Conclusion] High-resolution ultrasound is of great significance in the diagnosis of parathyroid diseases and has become the first choice of image methods.High-resolution ultrasound combined with clinical data can help find the lesions in early stage.
出处
《医学临床研究》
CAS
2014年第9期1712-1715,共4页
Journal of Clinical Research
