Utech C, Bieler E U, Pfannenstiel P
Dtsch Med Wochenschr. 1984 Jul 13;109(28-29):1108-11. doi: 10.1055/s-2008-1069332.
The diagnostic efficacy of sonography for localisation of adenomas of the parathyroid glands in the neck region was investigated in 13 patients with hypercalcaemia and increased serum parathormone levels. Solitary parathyroid adenoma was demonstrated in all patients. The diagnosis was confirmed by surgery in 12 patients. In one patient, adenoma of the parathyroid can be assumed due to sonographically demonstrated increase in size and increase of serum parathormone. Adenomas of the parathyroid are characterised sonographically by typical dorsal position at the posterior surface of the thyroid, by echo-paucity and echo-density of the "capsular structure" around the adenomas. Sonography is suitable as screening method in hypercalcaemia and in increased parathormone serum levels for preoperative localisation of parathyroid adenomas.
对13例高钙血症且血清甲状旁腺激素水平升高的患者，研究了超声检查对颈部甲状旁腺腺瘤定位的诊断效能。所有患者均检出孤立性甲状旁腺腺瘤。12例患者经手术确诊。1例患者因超声显示甲状旁腺大小增加及血清甲状旁腺激素升高，推测为甲状旁腺腺瘤。甲状旁腺腺瘤在超声检查中的特征为位于甲状腺后表面的典型背侧位置，腺瘤周围“包膜结构”回声稀少且回声密度低。超声检查适合作为高钙血症和血清甲状旁腺激素水平升高时甲状旁腺腺瘤术前定位的筛查方法。
