中国耳鼻咽喉头颈外科2017，Vol.24Issue(10)：497-500,4.DOI:10.16066/j.1672-7002.2017.10.001
磁共振成像在继发性甲状旁腺功能亢进症术前定位的诊断价值
Diagnostic value of magnetic resonance for preoperative localization of the parathyroid glands in secondary hyperparathyroidism patients
宁玉东 1王田田 1薄少军 1李洪跃 1杨晓琦 1徐先发1
作者信息
- 1. 北京大学民航临床医学院,民航总医院耳鼻咽喉头颈外科,北京 100123
- 折叠
摘要
Abstract
OBJECTIVE To make a research on the diagnostic value of Magnetic resonance image for preoperative localization of the parathyroid glands in secondary hyperparathyroidism patients.METHODS This retrospective study was on 51 patients with secondary hyperparathyroidism who underwent parathyroid gland resection and autoplastic transplantation and were examined with Magnetic resonance imaging 99mTC-MIBI nuclide imaging and Color doppler ultrasound in our hospital from 2010 to 2016.Compare to the gold standard of pathological diagnosis after operation,the sensitivity of various imaging examination on identifying the parathyroid glands were calculated.RESULTS The number of parathyroid glands diagnosed by pathology was 197,including 180 conventional parathyroid glands and 17 eetopic parathyroid glands.The sensitivity of MRI,99mTC-MIBI nuclide imaging and Color doppler ultrasound on identifying the conventional parathyroid glands was 76.67％,51.11％ and 44.44％ respectively,and the sensitivity on identifying the ectopic parathyroid was 29.41％,0 and 0 respectively.Sensitivity of the Magnetic resonance on identifying the conventional parathyroid and the ectopic parathyroid imagin were better than 99mTC-MIBI nuclide imaging and color doppler(P＜0.05).CONCLUSION Magnetic resonance imaging is an effective auxiliary examination on preoperative localization of the parathyroid glands in secondary hyperparathyroidism patients and can be the first choice of the image examination.关键词
甲状旁腺功能亢进症,继发性/诊断/对比敏感度/磁共振成像Key words
Hyperparathyroidism, Secondary/Diagnosis/Contrast Sensitivity/Magnetic Resonance Imaging引用本文复制引用
宁玉东,王田田,薄少军,李洪跃,杨晓琦,徐先发..磁共振成像在继发性甲状旁腺功能亢进症术前定位的诊断价值[J].中国耳鼻咽喉头颈外科,2017,24(10):497-500,4.
