Futh U, Hofereiter F, Fröhling P T
Abteilung für Anästhesiologie und Intensivtherapie, St. Josefs-Krankenhauses Potsdam.
Z Urol Nephrol. 1989 Aug;82(8):437-41.
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.
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。