摘要
目的探讨超声检查在慢性肾功能衰竭患者继发甲状旁腺增生的应用价值。方法 58例行维持性血液透析的慢性肾功能衰竭患者,超声检查其甲状旁腺,观测增生甲状旁腺的数目、位置、大小、形态、内部回声及血供情况,弹性成像分析其硬度。对病灶行病理学检查。结果超声检出甲状旁腺增生病灶88枚,病理诊断81枚为甲状旁腺增生,7枚为淋巴结反应性增生;超声诊断符合率为92.05%。超声显示增生甲状旁腺79枚血供较丰富。其中37枚直径〈15 mm病灶,呈类圆形占81.08%;44枚直径〉15 mm病灶,呈分叶状或不规则形占70.45%。79枚病灶弹性评分为3~4分,占97.53%。结论超声检查对甲状旁腺增生具有较高的检出率,可作为首选的影像学筛查方法。
Objective To explore the value of ultrasonography in the diagnosis of parathyroid hyperplasia secondary to chronic renal failure. Methods Fifty eight patients with chronic renal failure and maintenance hemodialysis were examined for parathyroids by ultrasonography. The number, location, size, shape, internal echo and blood supply of parathyroid hyperplasia were observed, and the hardness was analyzed by elastic imaging. The lesions were examined by pathology. Results Among 88 lesions diagnosed as parathyroid hyperplasia by ultrasonography, 81 of them were confirmed by pathology, the rest 7 lesions were reactive hyperplasia of lymph nodes from pathological diagnosis. The diagnostic accordance rate of ultrasonography was 92.05%. Seventy nine lesons had rich blood supply as shown by ultrasonography. Thirty seven lesions had a diameter＆lt;15 mm and a circular shape, accounting for 81.08%. Forty four lesions appeared as lobular or irregular shape with a diameter＆gt;15 mm, accounting for 70.45%. There were 79 lesions with elastic imaging score as 3-4, accounting for 97.53%. Conclusion Ultrasonography has a high detection rate for parathyroid hyperplasia and could be used as the preferred screening method.
出处
《临床超声医学杂志》
2014年第11期754-756,共3页
Journal of Clinical Ultrasound in Medicine
