刘亚绵 张凌 李程 卞维静 张菱 杨琳 屈铮 姜菊 刘亚绵 李程 杨琳 屈铮(北京，中日友好医院超声诊断科100029)；张凌 卞维静 张菱(血液净化中心)；姜菊(进修医师) 中国超声医学杂志 2000 0 16 12


    关键词：超声图像；甲状旁腺功能亢进；尿毒症 期刊 zgcsyxzz 0 913-915 临床研究 fur -->


    

摘 要 目的：为了给临床诊断、治疗继发性甲状旁腺功能亢进(甲旁亢)提供可靠依据，观察分析继发性甲状旁腺增生的多普勒超声图像特点。方法：运用高频彩色多普勒超声观察、分析42例肾功能衰竭患者临床确诊的继发甲旁亢患者增生的甲状旁腺。结果：共检出31例患者的76个甲旁腺增大，内呈低无回声；其周围及内部有丰富的动静脉血流。结论：1.超声检查甲状旁腺可为临床诊断治疗甲旁亢提供可靠信息；2.增生的甲状旁腺主要应与甲状旁腺腺瘤与颈部淋巴结鉴别；3.甲状腺疾病与异位甲状旁腺可影响超声对增生的检出甲旁腺。

Sonographyof Secondary Hyperparathyroidism

Liu Yamian Zhang Ling Li Cheng

    Dept.Ultrasound,China-Japan Friendship Hospital Beijing 100029 China

ABSTRACT Objective:In order to set up reliableinformation for clinical diagnosis,sonographic characteristics of secondaryhyperparathyoidism were studied and analysed.Methods：Forty-two chronic renal failurepatients complicated with secodary hyperparathyoidism were examined with high-resolutioncolor Doppler ultrasound.Results:Among 42 patients,31 cases had 76 parathyroidichyperplastic nodules which showed hypoechoic as compared with thyroid and were rich inperipheral and intranodular flow.Conclusions:①Ultrasonography is a useful method forevaluating secondary hyperparathyroidism;②Ultrasonograms of secondaryhyperparathyroidism should be differentiated from parathyroid adenoma and cervical lymphnode.③Thyroid lesion and ectopic parathyroid may influence to observeultrasonography of parathyroid.

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