原发性甲状旁腺机能亢进的骨骼X线表现(附16例报告)

The X-ray characteristics of skeleton in primary hyperparathyroidism

目的 :分析原发性甲状旁腺机能亢进 (甲旁亢 )的骨骼X线改变。方法 :收集了病理证实甲状旁腺腺瘤 12例、腺体增生 3例、腺癌 1例 ,其中伴有尿路结石 13例 ,并伴有高血钙低血磷 ,均行头颅、胸部、骨盆、股骨、双手X线检查。结果 :甲旁亢除引起全身骨质稀疏外 ,认为骨膜下骨质吸收为特征性征象 ,纤维囊样骨炎和颅盖骨磨砂玻璃样变对诊断有重要价值。结论 :全身骨质普遍稀疏伴有尿路结石可提示有甲旁亢可能。根据其X线特征与临床结合可作出甲旁亢的诊断。

Objective:To analyze the X ray features of skeleton in primary hyperparathyroidism.Methods:Radiograms of skull,chest,pelvis,femur and both hands were taken in all cases, which were diagnosed as hyperparathyroidism pathologically.12 cases of those patients were parathyroidoma,3 parathyroid hyperplasia and 1 parathyroid carcinoma with complications such as urinary calculi,calcemia and hypophosphatemia.Results:Subperiosteal bone absorption,in addition to generalized osteoporosis was of characteristic,and fibrocystic ostitis and ground glass appearance of cranium were also of great importance for diagnosis of hyperparathyroidism.Conclusion:Generalized osteoporosis accompanying with urinary calculi may indicate the possbility of hyperparathyroidism.Moveover,X ray features of bone, together with clinical findings, may make an accurate diagnosis.