由于增大的甲旁腺能由超声检出,并可由超声导向细针活检作出组织学诊断,因而提供了经皮穿刺治疗的可能性。作者在31例原发甲旁亢中选择20例用超声导向经皮穿刺注入96%酒精作甲旁腺化学切除术。病例选择为:超声检出的孤立性甲旁肿瘤,经超声导向细外活检证实甲旁素增加或甲旁组织;间接喉镜检查声带功能正常和病人愿意接受者。用7MHz扇形扫描器监视,先用0.6mm细针吸取作细胞学检查和免疫化学PTH测定。用0.8 Because the enlarged parathyroid gland can be detected by ultrasound and can be histologically diagnosed by ultrasound-guided fine-needle biopsy, it offers the possibility of percutaneous puncture treatment. The author selected 20 cases of 31 cases of primary hyperparathyroidism with ultrasound-guided percutaneous injection of 96% alcohol for parathyroidectomy. Case selection was: Ultrasound detected isolated parathyroid tumors, ultrasound-guided fine biopsy confirmed the increase of paraurethine or parathyroid tissue; indirect laryngoscopy normal vocal cord function and patients willing to accept. Monitoring with a 7 MHz sector scanner was first performed with 0.6 mm fine needles for cytology and immunochemical PTH assays. 0.8