10例甲状旁腺腺瘤的超声诊断

10 cases of parathyroid adenoma diagnosed by ultrasonography

目的 为提高甲状旁腺肿瘤的超声诊断水平。方法 回顾性分析了由超声检查发现并经手术证实的甲状旁腺腺瘤 10例。结果 高频超声对甲状旁腺肿瘤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 ;彩色多谱勒可提供肿瘤血供情况 ,有助于甲状旁腺肿瘤与甲状腺肿瘤的鉴别。建议原发性甲旁亢患者均应进行高频超声检查 ,提高甲状旁腺肿瘤的诊断率。结论 高频超声能够诊断甲状旁腺肿瘤。

Objective In order to appraise the value of ultrasonography in diagnosing parathyroid adenoma.Methods we reviewed 10 patients who had suffered parathyroid adenoma and undergone ultrasonic check in our hospital.Results High frequency probes is very useful in detection both nature and location of parathyroid adenoma.Moreover,we have found that 12MHz probe is more valuable than 7.5MHz probe in detection small mass.Color Doppler could provide more information about blood supply of the mass,which was very useful in differentiating parathyroid mass from thyroid tumor.Conclusion High frequency probe was very useful in increasing positive detection of parathyroid adenoma and should be applied to all patients who were in suspicion of primary hyperthyroid syndrom.