彩色多普勒超声在甲状旁腺功能亢进中的诊断价值

Diagnostic Value of Color Doppler Ultrasound in the Hyperparathyroidism

目的:探讨彩色多普勒超声对甲状旁腺功能亢进的诊断价值。方法:研究彩色多普勒超声测量甲状旁腺的数量、直径、周长、面积及其血流情况与63例甲状旁腺功能亢进患者血钙、血磷、钙磷乘积及PTH水平之间的关系。结果:63例患者共检测到增生的甲状旁腺75枚,平均数量为1.907枚。增生甲状旁腺数量不同,其各组的血PTH浓度、钙磷乘积、血磷、血钙无统计学差异(P>0.05);而反映增生甲状旁腺大小的指标,血PTH、面积与血钙、周长、直径呈正相关性,与血磷无相关性。结论:彩色多普勒超声可检测增生甲状旁腺直径、周长、面积,并显示其与血钙、血PTH呈正相关性,其可为临床提供正确的诊断和病情程度,是甲状旁腺功能亢进一种有效检测方法之一。

Objective： To explore the diagnostic value of the color doppler ultrasonography in hyperparathyroidism.Method： To study the relationship between the color doppler ultrasound measurement of parathyroid of which the number,diameter,perimeter,area as well as their blood flow conditions,and the blood calcium,blood phosphor,the calcium-phosphorus product and the PTH level of the 63 cases hyperparathyroidism patients.Result： 75 pieces of parathyroid hyperplasia in total were detected among the 63 patients,the average number was 1.907,There＇s no statistical differntiation of the PTH blood-concentration,calcium-phosphor product,hyperphosphoremia and blood calcuim of every group（P 0.05）.while the index of which can reflect the size of parathyroid hyperplasia,the blood PTH and its area have a positive relativity with the blood calcium,perimeter and the diameter,but a nagtive one with the blood phosphor.Conclusion： Color doppler ultrasound can not only detect the diameter,perimeter and area of the hyperplasia parathyroid,but also show a positive relativity with the blood calcuim and the blood PTH,it can provide correct clinical diagnosis and illness rate for the clinical treatment,and it is is one of the effective detection methods in hyperparathyroidism.