摘要
目的探讨高频超声对正常及功能亢进甲状旁腺的临床诊断价值。方法采用Philips U22型超声诊断仪检查39例临床确诊为继发性甲状旁腺功能亢进患者和200例健康体检者的甲状旁腺，探头频率为5～12MHz，并记录所检查甲状旁腺的大小、数量、形态、回声强弱以及血供情况。结果高频超声对功能亢进的甲状旁腺显示率为89．7％，病变腺体增大多呈圆形，回声界限清晰且低、强回声可同时存在，有大小不等的血流信号；对正常甲状旁腺显示率为79．5％，常表现为卵圆形高回声、血流信号少有或无；下甲状旁腺的检出明显高于上甲状旁腺的检出。结论高频超声同时兼具着形态结构与血流动力学的检测功能，可作为诊断继发甲状旁腺功能亢进的有效手段，亦可为外科手术治疗前甲状旁腺提供准确可靠信息。
Objective To investigate the diagnostic value of normal parathyroid and hyperthyroidism by high frequency ultrasound. Methods Philips U22 the ACUSON SE-QUOIA 512 ultrasonic diagnostic apparatus inspections of parathyroid were used to detect 39 cases hyperthyroidism patients and 200 cases of healthy persons. Probe frequency was 5 - 12MHz. Record the size, number, shape, echo strength and blood supply of parathyroid were recorded. Results The display rate of high frequency ultrasound was 89.7% for byperparathyroidism; And the lesions gland in- creased,low echo,hyperechoic can co-exist and the boundary were clear;varying sizes signals of blood flow. The display rate of normal parathyroid was 79.5% ,mostly often appearsed oval hyperechoic,with little or no blood flow signal. Conclusion The high-frequency ultrasound at the same time both the detection of the morphology and hemodynamies, can be an effective means of diagnosis of secondary hyperparathyroidism or parathyroid positioning in the sur- gical treatment to provide accurate and reliable message.
出处
《中国基层医药》
CAS
2013年第2期178-180,共3页
Chinese Journal of Primary Medicine and Pharmacy
关键词
高频超声检查
甲状旁腺
High-frequency ultrasound
Parathyroid
