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[继发性或三发性甲状旁腺功能亢进症中甲状旁腺腺瘤经皮超声引导下硬化治疗的方法及初步结果]

[Method and initial results of percutaneous ultrasound-controlled sclerotherapy of parathyroid adenoma in secondary or tertiary hyperparathyroidism].

作者信息

Futh U, Hofereiter F, Fröhling P T

机构信息

Abteilung für Anästhesiologie und Intensivtherapie, St. Josefs-Krankenhauses Potsdam.

出版信息

Z Urol Nephrol. 1989 Aug;82(8):437-41.

PMID:2683486
Abstract

In 16 of 96 patients with clinical, roentgenological and biochemical signs of hyperparathyroidism due to chronic renal failure the parathyroid adenomas were detected ultrasonographically. Verification of the adenoma was done using fine-needle biopsy and cytological evaluation. In 8 patients an ultrasonographic-guided sclerotherapy using absolute ethanole was performed. The efficacy of this method was evaluated by control of the biochemical parameters. In all cases a reduction of the serum calcium level and of the parathormone was observed. This method may represent an adjuvant therapy in the treatment of renal hyperparathyroidism.

摘要

在96例因慢性肾衰竭出现甲状旁腺功能亢进临床、放射学及生化体征的患者中,通过超声检查发现了16例甲状旁腺腺瘤。采用细针穿刺活检及细胞学评估对腺瘤进行确诊。对8例患者实施了超声引导下的无水乙醇硬化疗法。通过监测生化指标评估该方法的疗效。所有病例均观察到血清钙水平及甲状旁腺激素水平降低。该方法可能是治疗肾性甲状旁腺功能亢进的一种辅助疗法。

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