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[超声检查术前检测甲状旁腺腺瘤(作者译)]

[Pre-operative detection of parathyroid adenomas with ultrasound echography (author's transl)].

作者信息

Moreau J F, Dubost C, Buy J N, Ferry J

出版信息

Nouv Presse Med. 1981 May 23;10(23):1923-7.

PMID:7243572
Abstract

Pre-operative ultrasound echography (USE) was performed in 24 patients with primary hyperparathyroidism. Surgical exploration showed 23 adenomas and was negative in 2 cases. USE gave 14 true positive, 3 false positive, 4 true negative and 6 false negative results. The specificity of the method was 79% and its sensitivity 93%. These figures are similar to those of recently published series. USE is a delicate but rewarding technique. In the hands of sonographists trained in cervical ultrasonography, it might eventually be used routinely to localize parathyroid tumours prior to surgery.

摘要

对24例原发性甲状旁腺功能亢进患者进行了术前超声检查(USE)。手术探查发现23例腺瘤,2例为阴性。USE检查结果为14例假阳性、3例假阴性、4例真阴性和6例真阳性。该方法的特异性为79%,敏感性为93%。这些数据与最近发表的系列研究结果相似。USE是一种精细但值得采用的技术。在接受过颈部超声检查培训的超声科医生手中,它最终可能会常规用于术前甲状旁腺肿瘤的定位。

相似文献

1
[Pre-operative detection of parathyroid adenomas with ultrasound echography (author's transl)].[超声检查术前检测甲状旁腺腺瘤(作者译)]
Nouv Presse Med. 1981 May 23;10(23):1923-7.
2
Comparison of ultrasonography and computed tomography in preoperative location of parathyroid adenomas.超声检查与计算机断层扫描在甲状旁腺腺瘤术前定位中的比较。
Acta Chir Scand. 1985;151(7):583-7.
3
Accuracy of preoperative localization studies and intraoperative parathyroid hormone assay in patients with primary hyperparathyroidism and double adenoma.原发性甲状旁腺功能亢进症合并双腺瘤患者术前定位研究及术中甲状旁腺激素测定的准确性
J Am Coll Surg. 2003 Nov;197(5):739-46. doi: 10.1016/S1072-7515(03)00676-8.
4
[Echographic localisation diagnosis of adenomas and hyperplasias of the parathyroid in primary hyperparathyroidism (author's transl)].
Rofo. 1981 Mar;134(3):260-4. doi: 10.1055/s-2008-1056350.
5
[Real-time echography of the parathyroid glands].[甲状旁腺的实时超声检查]
J Radiol. 1983 Oct;64(10):545-50.
6
Preoperative localization of enlarged parathyroid glands.甲状旁腺肿大的术前定位
Ann Clin Res. 1984;16 Suppl 40:51-4.
7
[Diagnostic value of the determination of nephrogenic cyclic AMP, and the value of cervical echography for localization in primary hyperparathyroidism. 13 cases].[肾源性环磷酸腺苷测定的诊断价值及颈部超声检查在原发性甲状旁腺功能亢进症定位诊断中的价值。附13例报告]
Ann Med Interne (Paris). 1984;135(1):7-11.
8
[B-scan sonography for tumour localisation in hyperparathyroidism (author's transl)].
Rofo. 1981 Oct;135(4):412-6. doi: 10.1055/s-2008-1056906.
9
[Experiences of unilateral exploration of parathyroid adenoma].[甲状旁腺腺瘤单侧探查的经验]
Zhonghua Wai Ke Za Zhi. 1993 Oct;31(10):605-8.
10
The role of ultrasonography in the evaluation of primary hyperparathyroidism.超声检查在原发性甲状旁腺功能亢进评估中的作用。
Surg Gynecol Obstet. 1986 Dec;163(6):504-8.

引用本文的文献

1
The anatomical value of technetium-thallium subtraction scanning in detection and location of parathyroid adenomas.锝-铊减影扫描在甲状旁腺腺瘤检测与定位中的解剖学价值。
Anat Clin. 1984;6(4):281-5. doi: 10.1007/BF01654460.
2
Parathyroid adenomectomy under local anesthesia with intra-operative monitoring of UcAMP and/or 1-84 PTH.在局部麻醉下进行甲状旁腺腺瘤切除术,并在术中监测尿环磷酸腺苷(UcAMP)和/或1-84甲状旁腺激素(PTH)。
World J Surg. 1992 Jul-Aug;16(4):570-5. doi: 10.1007/BF02067323.