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目的 :为了给临床诊断、治疗继发性甲状旁腺功能亢进 (甲旁亢 )提供可靠依据 ,观察分析继发性甲状旁腺增生的多普勒超声图像特点。方法 :运用高频彩色多普勒超声观察、分析 42例肾功能衰竭患者临床确诊的继发甲旁亢患者增生的甲状旁腺。结果 :共检出 31例患者的 76个甲旁腺增大 ,内呈低无回声 ;其周围及内部有丰富的动静脉血流。结论 :1.超声检查甲状旁腺可为临床诊断治疗甲旁亢提供可靠信息 ;2 .增生的甲状旁腺主要应与甲状旁腺腺瘤与颈部淋巴结鉴别 ;3.甲状腺疾病与异位甲状旁腺可影响超声对增生的检出甲旁腺
Objective: In order to provide a reliable basis for clinical diagnosis and treatment of secondary hyperparathyroidism (hyperparathyroidism), the characteristics of Doppler ultrasound imaging of secondary hyperplasia of parathyroid gland were observed and analyzed. Methods: Hyperplasia of parathyroid gland in 42 cases of renal failure patients clinically diagnosed as secondary hyperparathyroidism was analyzed by high-frequency color Doppler ultrasound. Results: A total of 76 parathyroid lesions were found in 31 patients with low echolessness and abundant arteriovenous blood flow around and inside. Ultrasound examination of the parathyroid gland for the clinical diagnosis and treatment of hyperparathyroidism provide reliable information; 2. Hyperplasia of the parathyroid gland and parathyroid adenoma mainly with cervical lymph node differentiation; 3. Thyroid disease and ectopic thyroid Parathyroid glands can affect the detection of parathyroid by hyperplasia