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目的 :探讨超声引导下介入性治疗继发性甲状旁腺功能亢进 (甲旁亢 )的疗效与价值。方法 :观察、比较 33例患者经超声引导无水酒精硬化治疗前后血清 PTH水平的变化及甲状旁腺超声图像变化 ,评价其治疗效果。结果 :33例患者经治疗后 ,其血清 PTH全部明显下降。缓解率 15 .2 % (5 / 33) ,显效率 5 4 .5 % (18/ 33) ,满意率 30 .3%(10 / 33)。结论 :超声引导下经皮注入无水酒精治疗继发甲旁亢是一项安全、有效的治疗手段 ,值得推广使用。腺体内血流信号的变化是观察疗效的敏感指标。对难治性继发甲旁亢患者应采用综合性治疗手段 ,以巩固、提高疗效
Objective: To investigate the efficacy and value of ultrasound-guided interventional therapy for secondary hyperparathyroidism (hyperparathyroidism). Methods: The changes of serum PTH levels and the changes of parathyroid gland ultrasound images before and after ultrasound-guided anhydrous alcohol sclerosis were observed and compared in 33 patients. The therapeutic effect was evaluated. Results: After treatment, 33 cases of PTH were all significantly decreased. The response rate was 15.2% (5/33), the effective rate was 54.5% (18/33), and the satisfaction rate was 30.3% (10/33). Conclusion: Ultrasound-guided percutaneous injection of anhydrous alcohol in the treatment of secondary hyperparathyroidism is a safe and effective treatment and is worth promoting. Changes in glandular blood flow signal is a sensitive indicator of efficacy. For refractory secondary hyperparathyroidism patients should adopt a comprehensive treatment to consolidate and improve the efficacy