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目的探讨甲状旁腺病变的超声表现,提高甲状旁腺疾病的诊断率。方法回顾性分析经手术和病理证实的甲状旁腺病变34例,其中甲状旁腺腺瘤28例,甲状旁腺囊肿2例,甲状旁腺增生2例,甲状旁腺癌2例。所有患者资料均包括术前甲状腺超声检查,分析其超声报告及印象诊断,对比其结果与术后病理分析,评估超声检查甲状旁腺病变的正确率和误诊率,并分析原因。结果 34例甲状旁腺病变中,术前超声诊断与术后病理诊断对比,超声诊断正确率为83.3%,误诊率:11.8%。结论超声检查对甲状旁腺病变的早期诊断具有一定的临床价值,但存在一定的误诊率需引起超声及临床医师的关注。
Objective To investigate the ultrasound manifestations of parathyroid lesions and improve the diagnosis rate of parathyroid disease. Methods A retrospective analysis of 34 cases of pathologically confirmed parathyroid lesions, including 28 cases of parathyroid adenoma, 2 cases of parathyroid cysts, hyperplasia of parathyroid in 2 cases, 2 cases of parathyroid carcinoma. All patient data included preoperative thyroid ultrasound examination, analysis of ultrasound reports and imaging diagnosis, compared with the results and postoperative pathological analysis to assess the correct rate of ultrasound and parathyroid lesions misdiagnosis rate, and analyze the causes. Results Among the 34 cases of parathyroid lesions, the diagnostic accuracy of preoperative ultrasonography was 83.3% and the rate of misdiagnosis was 11.8%. Conclusion Ultrasonography has some clinical value in the early diagnosis of parathyroid lesions, but there is a certain misdiagnosis rate to be caused by ultrasound and clinicians.