术前及术中超声在甲状旁腺腺瘤诊疗中的价值研究

Value analysis of preoperative and intra-operative ultrasound in diagnosis and treatment of parathyroid adenoma

目的:探讨术前及术中超声在甲状旁腺腺瘤诊疗中的价值。方法:对2016-03-2017-11期间经术后病理证实为甲状旁腺腺瘤的62例患者进行超声参数统计,其中有26例进行了术中超声探查,并对术中的检出情况进行统计。结果:62例甲状旁腺腺瘤中,术前超声诊断为甲状旁腺腺瘤58例,敏感性为93.54%。26例甲状旁腺手术术中超声探查到病灶者有24例,敏感度为92.31%。结论:术前超声对甲状旁腺腺瘤的定性诊断及定位诊断有着较高的诊断价值,术中超声可以帮助术中快速安全地探查病灶,对缩短手术时间、提高手术安全性具有重要意义,是超声在甲状旁腺诊疗中重要的发展空间之一。

Objective：：To explore the value characteristics of preoperative and intra-operative ultrasound in the diagnosis and treatment of parathyroid adenoma,and to further clarify the value of ultrasound in the diagnosis and treatment of parathyroid adenoma.Method：A total of 62 cases of parathyroid adenoma confirmed by postoperative pathology from March 2016 to November 2017 were collected,and the pre-operative ultrasound parameters were analyzed;and 26 cases were detected by intra-operative ultrasound.Result：In 62 cases of parathyroid adenoma,58 cases of parathyroid adenoma were diagnosed by ultrasound before operation,and the sensitivity was 93.54%.Among the 26 cases,the lesions of 24 cases were detected by intra-operative ultrasound,and the sensitivity was 92.31 %.Conclusion：Preoperative ultrasonography has a high diagnostic value for the qualitative diagnosis and location diagnosis of parathyroid adenoma,and intra-operative ultrasound can help to detect lesions quickly and safely,which is of great significance to shorten the operation time and improve the safety of operation.It is an important development space of ultrasound in the diagnosis and treatment of parathyroid glands.