高频彩色多普勒超声对甲状旁腺腺瘤13例的诊断价值.pdf

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1、·104·实用医学影像杂志2015年4月第16卷第2期JPMI，April2015，Vo1．16．No．2高频彩色多普勒超声对甲状旁腺腺瘤13~lJ的诊断价值袁红梅刘健顾鹏张宁刘晓玲【摘要】目的探讨高频彩色多普勒超声对甲状旁腺腺瘤的诊断价值及超声声像图特征，以提高超声对该病的认识。方法回顾性分析经病理证实的l3例甲状旁腺腺瘤的临床资料及超声声像图特征。结果13例甲状旁腺腺瘤位于上甲状旁腺的4例，下甲状旁腺的9例，位于上极的超声诊断2例，误诊为淋巴结1例，漏诊1例，位于下极的超声诊断6例，误诊甲状腺结节1例，误诊为淋巴结1例。漏诊1例。l3例甲状

2、旁腺腺瘤均伴不同程度的骨质疏松，其中伴纤维囊性骨炎2例，伴肾结石1O例。发现的11例甲状旁腺瘤的超声声像图特征为：均位于甲状腺背侧，其中低回声结节9例，高回声结节2例，结节多呈类圆形或椭圆形，边界清晰；彩色多普勒超声表现为结节内有较丰富的低阻血流。结论掌握甲状旁腺腺瘤的解剖及毗邻位置关系，熟悉其临床特征，认识甲状旁腺腺瘤的二维及高频彩色超声多普勒特征，有助于提高超声诊断率，减免漏误诊。【关键词】超声检查，多普勒，彩色；甲状旁腺；腺瘤Thevalueofhighfrequencyultrasoundindiagnosisofparathyroid

3、adenoma：areportof13casesYuanHongmei,LiuJian，GuPeng,ZhangNing,LiuXiaoling．TheAfiliatedHospitaltONorthSichuanMedicalCollege，Nanchong637000，China【Abstract】ObjectiveAnalyzethespecificultrasoniccharacteristicsofParathyroidAdenomainordertoim·provetheaccuracyofdiagnosis．MethodsTheu

4、ltrasonographicfeaturesandclinicalfindingsof13ParathyroidAdenomawerereviewedretrospectivelyandanalyzed．ResultsThi~ycasesofparathyroidadenomacontain4caseslocatedonsuperiorparathyroidglandand9caseslocatedonlowerparathyroidgland．Inthese4caseslocatedonsu—periorparathyroidgland，2

5、caseswerecorrectlydiagnosedbyultrasound，1casewasmisdiagnosedaslymphnode，1casesweremisseddiagnosis．Inthe9caseslocatedonlowerparathyroidgland．6caseswerdcorrectlydiagnosedbyuhrasound，1casewasmisdiagnosedasthyroidnodule，1caseswasmisdiagnosedaslymphnode，1casesweremisseddiagnosis．

6、Allthe13casesparathyroidadenomacompanedwithosteoporosis，2casescompanedwithosteitisfibrosa，and10casescompanedwithrenalcalculi．Theuhrasonographicfeaturesof11casesparathyroidadenoma：Theywerelocatedonthebacksideofthethyroid，including9casesoflowechonodules，2casesofhyperechoicnodu

7、les，mostlesionswereroundoroval，clearboundary，colorDopplerultrasoundshowedthisnoduleswithlowresistanceflow．ConclusionTomastertheanatomyofparathyroidadenoma，befamiliarwiththeclinicalfeatures，understandthetwo—dimensionalandhighfrequencycolorDopplerultrasoundfeaturesoftheparathy

8、roidadenoma，Itcanhelptoim—provethediagnosticrateofultrasound，reducemisdiagn