Devcic Zlatko, Jeffrey R Brooke, Kamaya Aya, Desser Terry S
Department of Radiology, Stanford University School of Medicine, Stanford, CA 94305, USA.
Ultrasound Q. 2013 Sep;29(3):179-87. doi: 10.1097/RUQ.0b013e3182a1ba6f.
The success of minimally invasive surgery for hyperparathyroidism depends on accurate preoperative localization of the hyperfunctioning adenoma with imaging. Ultrasound is an excellent initial modality because it has a high positive predictive value, sensitivity, and specificity, while being inexpensive and noninvasive without use of ionizing radiation. Determining the exact location and number of adenomas is essential, because these factors guide the surgical approach. The goal of this review article was to discuss specific sonographic techniques that can be applied to find even the elusive adenoma, which include (1) compression scanning, (2) color Doppler, (3) scanning regions where ectopic glands may be located, and (4) evaluating intrathyroidal adenomas.
甲状旁腺功能亢进症微创手术的成功取决于通过影像学对功能亢进性腺瘤进行准确的术前定位。超声是一种很好的初始检查方法，因为它具有较高的阳性预测值、敏感性和特异性，而且价格低廉、无创且不使用电离辐射。确定腺瘤的确切位置和数量至关重要，因为这些因素会指导手术方式。这篇综述文章的目的是讨论一些特定的超声检查技术，这些技术可用于找到甚至难以捉摸的腺瘤，包括（1）压迫扫查，（2）彩色多普勒，（3）扫查异位腺体可能所在的区域，以及（4）评估甲状腺内腺瘤。
