【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更多还原

【Abstract】 Objective:In order to set up reliable information for clinical diagnosis,sonographic characteristics of secondary hyperparathyoidism were studied and analysed.Methods:Forty two chronic renal failure patients complicated with secodary hyperparathyoidism were examined with high resolution color Doppler ultrasound.Results:Among 42 patients,31 cases had 76 parathyroidic hyperplastic nodules which showed hypoechoic as compared with thyroid and were rich in peripheral and intranodular flow.Conclusions:①Ultrasonography is a useful method for evaluating secondary hyperparathyroidism;②Ultrasonograms of secondary hyperparathyroidism should be differentiated from parathyroid adenoma and cervical lymphnode.③Thyroid lesion and ectopic parathyroid may influence to observe ultrasonography of parathyroid.更多还原