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目的探讨超声诊断作为维持性血液透析患者甲状旁腺增生筛查的临床价值。方法入选82例患者作为研究对象。同期行近期相关的实验室检查,并实施超声甲状旁腺筛查。了解甲状旁腺增生是否与相关实验室检查一致。结果在82例维持性血液透析患者中,检出75例甲状旁腺(91.46%)。其中59例患者有甲状旁腺增生共检出114个(71.6%)。超声表现主要为甲状腺左右叶背侧1~4个不等椭圆形或类圆形呈低回声、低回声与高回声共存、高回声等结节。增生组的血清PTH、Ca、透析病程及血钙血磷的乘积明显高于未增生组。结论在维持性血液透析患者甲状旁腺功能亢进中,超声甲状旁腺筛查是一种诊断甲状旁腺增生简便、有效的方法,对临床的监测和诊治甲状旁腺增生提供一定的诊断价值。
Objective To investigate the clinical value of ultrasonic diagnosis as screening for parathyroid hyperplasia in maintenance hemodialysis patients. Methods 82 patients were enrolled as study subjects. Concurrent line of recent laboratory tests, and the implementation of ultrasound parathyroid screening. Understand whether parathyroid hyperplasia is consistent with relevant laboratory tests. Results In 82 patients with maintenance hemodialysis, 75 cases of parathyroid gland (91.46%) were detected. Of the 59 patients, there were 114 (71.6%) with parathyroid hyperplasia. Ultrasonographic manifestations of the left and right thyroid about 1 to 4 dorsal orbicular elliptic or similar hypoechoic echo, hypoechoic and hyperechoic coexistence, hyperechoic nodules. Proliferation group, serum PTH, Ca, dialysis duration and serum calcium and phosphorus product was significantly higher than the non-proliferation group. Conclusion Among the patients with maintenance hemodialysis, hyperparathyroidism is a simple and effective method to diagnose hyperplasia of parathyroid gland. It provides some diagnostic value for clinical monitoring and diagnosis and treatment of parathyroid hyperplasia.