| 影像学检查在原发性甲状旁腺功能亢进症术前定位诊断中的作用 |
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| 引用本文： | 陈国庆,高峰,张珊,黄道中,吴毅平. 影像学检查在原发性甲状旁腺功能亢进症术前定位诊断中的作用[J]. 华中科技大学学报(医学版), 2008, 37(1): 112-113. DOI: 10.3870/j.issn.1672-0741.2008.01.029 |
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| 作者姓名： | 陈国庆 高峰 张珊 黄道中 吴毅平 |
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| 作者单位： | 1. 华中科技大学同济医学院附属同济医院普外科,武汉,430030
2. 华中科技大学同济医学院附属同济医院,超声影像科,武汉 430030 |
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| 摘 要： | 目的 比较超声、CT、MRI 99mTe-MIBI(甲氧基异丁基异腈)在原发性甲状旁腺功能亢进症(PHPT)术前定位诊断中的价值.方法 回顾性分析同济医院24例手术治疗的PHPT患者的临床资料.结果 超声,CT、99mTc-MIBI双时相显像、MRI诊断符合率各为91%(20/22)、73%(11/15)、94%(15/16)、100%(4/4).结论 超声,CT、99mTc-MIBI双时相显像、MRI在原发性甲状旁腺功能亢进症术前定位诊断中具有重要的价值.超声和99mTc-MIBI核素显像应作为首选的术前定位检查方法,若条件允许可以行其它影像学检查.
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| 关 键 词： | 甲状旁腺功能亢进症 诊断 术前定位 影像学检查 原发性 甲状旁腺功能亢进症 术前定位诊断 作用 Patients Localization Imaging Medical 条件 检查方法 核素显像 诊断符合率 双时相显像 结果 临床资料 患者 手术治疗 医院 同济 |
| 收稿时间： | 2007-01-25 |
| 修稿时间： | 2007-01-25 |
The Evaluation of Medical Imaging in Preoperative Loci Localization in Patients with PHPT |
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| Chen Guoqing, Gao Feng, Zhang Shan et al. The Evaluation of Medical Imaging in Preoperative Loci Localization in Patients with PHPT[J]. Journal of Huazhong University of Science and Technology(Health Sciences), 2008, 37(1): 112-113. DOI: 10.3870/j.issn.1672-0741.2008.01.029 |
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| Authors: | Chen Guoqing Gao Feng Zhang Shan et al |
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| Abstract: | Objective To evaluate the diagnostic value of US,CT,MRI and 99mTc-MIBI in primary hyperparathyroidism(PHPT).Methods Data of 24 PHPT patients with diagnosis confirmed by postoperative pathology were retrospectively reviewed.Results The preoperative diagnosis in 20 out of 22 cases(91%) undergoing preoperative US of the neck with positive result was verified by operative findings.For CT,MRI and 99mTc-MIBI,the positive rate was 73%,100% and 94% respectively.Conclusion US,CT,99mTc-MIBI and MRI play an important role in the preoperative loci localization in patients with PHPT.US and 99mTc-MIBI should be considered as the first choice for preoperative localization of tumors in patients with PHPT.US in combination with 99mTc-MIBI is more sensitive and accurate for the localization of parathyroid gland. |
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| Keywords: | hyperparathyroidism diagnosis localization |
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