Zocholl G, Kuhn F P, Kraus W G, Wagner P
Rofo. 1986 Apr;144(4):422-7. doi: 10.1055/s-2008-1048816.
Apart from computed tomography, sonography is the most valuable clinical method for the pre-operative diagnosis of parathyroid tumours. Eighty-six patients were examined by high resolution ultrasound (7.5 and 10 MHz) and in 63 of these the sonographic findings could be compared with the results of surgery. Sensitivity of 67.5% was highest amongst 40 patients with primary hyperparathyroidism. Patients who had had previous operations on the neck showed a slightly lower sensitivity of 65%. In secondary and tertiary hyperparathyroidism, sensitivity was 54%. The main causes of error were small size of the adenoma, changes in the thyroid gland and previous surgery to the neck. The value of sonography for diagnosis and surgical planning is discussed.
除计算机断层扫描外，超声检查是甲状旁腺肿瘤术前诊断最有价值的临床方法。对86例患者进行了高分辨率超声（7.5和10兆赫）检查，其中63例患者的超声检查结果可与手术结果进行比较。在40例原发性甲状旁腺功能亢进患者中，超声检查的敏感性最高，为67.5%。颈部曾接受过手术的患者敏感性略低，为65%。继发性和三发性甲状旁腺功能亢进患者的敏感性为54%。误诊的主要原因是腺瘤体积小、甲状腺变化以及颈部既往手术史。本文讨论了超声检查在诊断和手术规划中的价值。
