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1、彩色多普勒超声对继发甲状旁腺功能亢进症的应用价值江苏省苏州市中西医结合医院、木渎人民医院超声科潘梅芳姜丽ColorDopplerultrasoundinthediagnosisofsubclavianarterystealsyndrome.DepartmentofUtrasound,UnifiestheJiangsuprovinceSuzhouCityHospitaloftraditionalChinesemedicineandWesternMedicine,MuduPeoplesHospital.PanMeifa
2、ngJiangLi【Abstrac】Objective:Summaryofmaintenancehemodialysispatientswithsecondaryhyperparathyroidism(SHP)ultrasoundofparathyroidhyperplasia,toexploretheapplicationvalueofcolorDopplerultrasoundinthediagnosisofsecondaryhyperparathyroidism.Method:Ultrasonographyw
3、asperformedon38casesofparathyroidinpatientswithmaintenancehemodialysisandelevatedserumPTH,recordingthenumber,position,size,shape,internalechoandcolordopplerexpression.Results:In38patients,36caseswithhyperplasiaoftheparathyroidglands,thedetectionratewas94.7%.Th
4、erewere72piecesofhyperplasiaoftheparathyroidgland,morphologywithoval,round,spindleshaped,flatround,clearboundary,internalechohaslowecho,mixedecho,partwithcalcification.35ofthemhavecolorflow.Thetotalvolumeoftheparathyroidglandsandtheflowquantitywerepositivelyco
5、rrelatedwiththeconcentrationofserumPTH.WithcalcificationofthehigherserumPTHconcentrationsofparathyroid,butthelargestsingleglandvolumeandserumPTHconcentrationindependent.Conclusion:ColorDopplerultrasoundcandetecttheposition,number,sizeandtheinternalechoofthepar
6、athyroidglands,itstotalvolume,theinternalechoandtheflowquantitywerepositivelyrelatedtoserumPTH,SHPcanindirectlyreflecttheseverityofdisease,ithastheimportantvalueinthediagnosisandtreatmentofSHP.【keyword】UltrasonicinspectionSecondaryhyperparathyroidism【摘要】目的总结维持
7、性血液透析患者继发甲状旁腺功能亢进症（SHP）的甲状旁腺增生的超声表现，探讨彩色多普勒超声在继发性甲状旁腺功能亢进症诊治中的应用价值。方法对38例维持性血液透析并且血清PTH增高的患者进行甲状旁腺的超声检查，记录其数目、位置、大小、形态、内部回声及彩色多普勒超声表现。结果38例患者中，36例检出增生的甲状旁腺，检出率为94.7%。共检出72枚增生的甲状旁腺，形态以椭圆形、类圆形、梭形、扁圆形为主，边界清晰，内部回声有低回声、混合回声、部分伴钙化灶，其中35枚有彩色血流。甲状旁腺的总体积及血流数与血清PTH浓度呈正相
8、关，伴钙化灶的甲状旁腺其血清PTH浓度较高，而单个腺体最大体积与血清PTH浓度无关。结论彩超能检测甲状旁腺的位置、数目、大小及内部回声，其总体积、内部回声及血流数与血清PTH相关，可间接反映SHP病情程度，在SHP的诊治中有重要的价值。【关键词】超声检查继发性甲状旁腺功能亢进维持性血液透析患者继发甲状旁腺功能亢进症，是由于钙、磷代谢紊乱，从而刺激甲状旁腺增生
