Di Donna A, Lorenzon G
Radiol Med. 1985 Dec;71(12):843-9.
Ultrasonography (US) of parathyroid glands was performed in 56 patients with clinic and/or laboratory findings diagnostic or strongly suggesting a primary hyperparathyroidism. In 42 cases CT and in 8 US-guided fine needle biopsy (FNB) were performed. Surgical or autoptic confirmation was obtained in 34 patients. In controlled cases US yielded an overall sensibility of 88.46%, specificity of 95.14% and accuracy of 94.58% in identifying enlarged parathyroid glands. Doubtful US findings can be due to atypical pattern or site and associated thyroid pathology: in these cases, also in our experience, US-guided FNB can be usefully employed. US was more accurate than CT in detecting small size glands. In our opinion CT is mandatory only in negative US and/or scintigraphic cases. According to some clinical and surgical problems US may have a localizing or diagnostic role.
对56例具有临床和/或实验室检查结果诊断或强烈提示原发性甲状旁腺功能亢进的患者进行了甲状旁腺超声检查（US）。其中42例进行了CT检查，8例进行了超声引导下细针穿刺活检（FNB）。34例患者获得了手术或尸检证实。在对照病例中，超声在识别增大的甲状旁腺方面总体敏感性为88.46%，特异性为95.14%，准确性为94.58%。可疑的超声检查结果可能是由于非典型的形态或位置以及相关的甲状腺病变：在这些情况下，根据我们的经验，超声引导下细针穿刺活检也可以有效应用。超声在检测小尺寸腺体方面比CT更准确。我们认为，仅在超声和/或闪烁扫描检查结果为阴性的情况下才必须进行CT检查。根据一些临床和手术问题，超声可能具有定位或诊断作用。
