Johnson Nathan A, Carty Sally E, Tublin Mitchell E
Division of Abdominal Imaging, Department of Radiology, University of Pittsburgh School of Medicine, 200 Lothrop Street, Suite 3950 PST, Pittsburgh, PA 15213, USA.
Radiol Clin North Am. 2011 May;49(3):489-509, vi. doi: 10.1016/j.rcl.2011.02.009.
Primary hyperparathyroidism is a common endocrine disorder caused by the overproduction of parathyroid hormone either by a single adenomatous gland or by multiple adenomatous or hyperplastic glands. Surgical resection of the abnormal parathyroid glands is the standard treatment, the goal of initial parathyroidectomy being durable biochemical cure. Surgeons have recently shifted to more minimally invasive and selective techniques for parathyroid exploration. More selective surgical approaches rely on accurate preoperative imaging techniques to localize abnormal parathyroid glands. It is imperative that radiologists are familiar with imaging features of parathyroid glands as well as the role of imaging in patient care.
原发性甲状旁腺功能亢进是一种常见的内分泌疾病，由单个腺瘤样腺体或多个腺瘤样或增生性腺体产生过量甲状旁腺激素所致。手术切除异常甲状旁腺是标准治疗方法，初次甲状旁腺切除的目标是实现持久的生化治愈。外科医生最近已转向采用更微创和选择性的技术进行甲状旁腺探查。更具选择性的手术方法依赖于准确的术前成像技术来定位异常甲状旁腺。放射科医生必须熟悉甲状旁腺的成像特征以及成像在患者护理中的作用。
