甲状旁腺囊肿的超声诊断临床误诊分析

[目的] 探讨甲状旁腺囊肿的超声诊断临床特点,以避免误诊。[方法] 回顾性分析2012年6月-2013年5月3例甲状旁腺囊肿误诊病例的超声诊断图像资料。[结果] 3例患者病灶均位于左侧甲状腺下极背侧,均经手术、病理学证实。超声声像图共同表现:病灶呈圆形或椭圆形的无回声区,边界清晰,包膜完整,壁薄且光滑。甲状旁腺囊肿与甲状腺两者包膜表现为锐角。[结论] 甲状腺超声检查时,甲状旁腺区域的病变,尤其是甲状腺下部,均要考虑与甲状旁腺来源的病变鉴别。

Clinical misdiagnosis of ultrasonography on parathyroid cyst

[Objective] To study clinical ultrasonography characteristics on parathyroid cysts, so as to avoid misdiagnosis of that in clinic.[Methods] The ultrasonic image data on parathyroid cyst of 3 misdiagnosed cases hospitalized from June 2012 to May 2013 were retrospectively analyzed.[Results] The foci of 3 cases were located in the dorsal area under the left lobe distal polar of thyroid, and were confirmed by surgery and pathology. The common performance of ultrasonic images:round or oval anechoic area, clear boundary, integrity membrane, thin and smooth wall. The envelop between parathyroid cyst and thyroid presented with acute angle.[Conclusion] In thyroid ultrasonic examination, lesions in the parathyroid gland area, especially around the inferior pole of thyroid, should be considered to be differentiated from that of parathyroid disease.