Tomić Brzac H, Pavlović D, Halbauer M, Pasini J
Institute of Nuclear Medicine, Clinical Hospital, University of Zagreb, Yugoslavia.
Nephrol Dial Transplant. 1989;4(1):45-50.
We present the results of ultrasonic neck examination in 72 patients (47 males, 25 females) on chronic haemodialysis, with clinical and biochemical signs of increased function of the parathyroid glands. The findings of the ultrasonic examination performed using linear transducers of 5 and 7.5 MHz for the surface tissue are compared with the duration of haemodialysis treatment, biochemical parameters (calcium, phosphate, parathormone, alkaline phosphatase) and skeleton X-ray findings. In 18 patients parathyroid glands were not visible, in 30 patients there were one or two enlarged (i.e. abnormal) parathyroid glands, and in the remaining 24 patients three or four of the glands were enlarged. Abnormal parathyroid glands were more often found in patients who had been dialysed for a longer period of time, as well as in those with a higher parathormone level in the blood. It is concluded that ultrasonic examination of the neck is very useful in the diagnosis of enlarged parathyroid glands, and helpful in the management of patients on chronic haemodialysis.
我们呈现了72例慢性血液透析患者（47例男性，25例女性）颈部超声检查的结果，这些患者具有甲状旁腺功能亢进的临床和生化体征。将使用5和7.5MHz线性换能器对表面组织进行的超声检查结果与血液透析治疗时间、生化参数（钙、磷、甲状旁腺激素、碱性磷酸酶）及骨骼X线检查结果进行了比较。18例患者甲状旁腺不可见，30例患者有一个或两个甲状旁腺肿大（即异常），其余24例患者有三个或四个甲状旁腺肿大。甲状旁腺异常在透析时间较长的患者以及血液中甲状旁腺激素水平较高的患者中更常见。结论是，颈部超声检查对诊断甲状旁腺肿大非常有用，有助于慢性血液透析患者的管理。
