Kagawa S
Department of Urology, School of Medicine, Tokushima University.
Nihon Rinsho. 1995 Apr;53(4):870-3.
A value of preoperative localization tests for primary hyperparathyroidism is controversial. Many preoperative localization studies such as ultrasound, computed tomography scanning, magnetic resonance imaging (MRI) and radionuclide scanning have been proposed to facilitate unilateral neck exploration and to improve the surgical success rate. The accuracy of these investigations, however, has not approached that of an experienced parathyroid surgeon. All imaging techniques were not evaluated for small glands weighting less than 250 mg. But these tests showed high sensitivity and specificity for tumors weighting more than 1 g.
术前定位检查对原发性甲状旁腺功能亢进症的价值存在争议。许多术前定位研究，如超声、计算机断层扫描、磁共振成像（MRI）和放射性核素扫描，已被提出用于促进单侧颈部探查并提高手术成功率。然而，这些检查的准确性尚未达到经验丰富的甲状旁腺外科医生的水平。所有成像技术对重量小于250毫克的小腺体均未进行评估。但这些检查对重量超过1克的肿瘤显示出高敏感性和特异性。
