超声诊断甲状旁腺腺瘤及其并发症的价值

Ultrasound of Parathyroid Adenoma and Its Complications

【目的】探讨超声诊断甲状旁腺腺瘤（PTA）及其并发症的价值。【方法】回顾性分析了由超声检查发现并经手术证实的PTA10例，同时检查胆囊、胰腺、肾、输尿管、膀胱、前列腺及软组织剧烈疼痛处。【结果】高频超声对PTA的定位和定性非常重要，尤以12MHz探头对发现较小瘤体极有价值；彩色多普勒可提供肿瘤血供情况，有助于PTA与甲状腺腺瘤的鉴别。PTA合并肾结石5例，膀胱结石3例，胆结石2例，下肢软组织钙化2例，前列腺钙化2例。【结论】高频及多普勒超声可较准确地诊断PTA及其并发症。

[Objective] To explore the value of ultrasound in diagnosing parathyroid adenoma（PTA） and its complications. [Methods]Ten patients who had suffered parathyroid adenoma and undergone ultrasonic check in our hospital were analyzed retrospectively. The gallbladder, pancreas, kidney, renal duct, bladder, prostate and paining soft tissues were examined by ultrasound. [Results]High frequency probes were very useful in detecting both nature and location of parathyroid adenoma. Moreover, 12MHz probe in detecting small mass was more valuable than 7. 5MHz probe. Color Doppler could provide more information about blood supply of the mass, which was very useful in differentiating parathyroid mass from thyroid tumor. PTA was complicated with 7 cases of renal stone, 3 cases of bladder stones, 2 cases of gallbladder stone, 2 cases of lower extremity soft tissue calcification and 2 cases of prostate calcification. [Conclusion]High frequency ultra- sound and Doppler ultrasound contributes to diagnose PTA and its complications.