Gooding G A, Clark O H
Department of Radiology, University of California, San Francisco 94121.
Am J Surg. 1992 Jul;164(1):51-6. doi: 10.1016/s0002-9610(05)80645-2.
To determine whether the use of color Doppler imaging in conjunction with standard high-resolution 10-MHz ultrasound could increase the screening sensitivity in distinguishing between thyroid and parathyroid lesions in the detection of parathyroid disease, we studied 32 patients with hyperparathyroidism with both modalities who were subsequently treated surgically. Among these 32 patients, parathyroid lesions were predominantly avascular (n = 21, average size 0.9 x 0.6 cm) but with increased size demonstrated some vascularity (n = 9, average size 2.1 x 1 cm, 32%). Of these 32 patients, 46.6% had thyroid lesions as well. Thyroid lesions were avascular when small (n = 26 lesions, average size 0.5 x 0.5 cm) but tended to demonstrate vascularity (n = 14, 35%) at about 1 cm in size or greater. Although the addition of color Doppler imaging enabled the differentiation of vessel from soft-tissue abnormalities and some distinction between parathyroid and thyroid lesions, it had no effect on overall sensitivity (65%) in the detection of parathyroid disease.
为了确定彩色多普勒成像结合标准的10兆赫高分辨率超声是否能提高甲状旁腺疾病检测中区分甲状腺和甲状旁腺病变的筛查敏感性，我们对32例甲状旁腺功能亢进患者进行了这两种检查方式的研究，这些患者随后接受了手术治疗。在这32例患者中，甲状旁腺病变主要无血管（n = 21，平均大小0.9×0.6厘米），但随着大小增加显示出一些血管（n = 9，平均大小2.1×1厘米，32%）。在这32例患者中，46.6%也有甲状腺病变。甲状腺病变小的时候无血管（n = 26个病变，平均大小0.5×0.5厘米），但在大小约1厘米或更大时往往显示出血管（n = 14，35%）。虽然彩色多普勒成像的加入能够区分血管与软组织异常以及甲状旁腺和甲状腺病变之间的一些差异，但它对甲状旁腺疾病检测的总体敏感性（65%）没有影响。
