摘要
目的:探讨超声评估继发性甲状旁腺功能亢进症(SHPT)的价值。方法:选取2015年5月至2020年3月期间于石河子大学医学院第一附属医院规律血液透析并行甲状旁腺手术的43例SHPT患者,术前均行超声检查,观察目标病灶的超声特征,并计算甲状旁腺体积和,结合术前血钙(SCa)、血磷(SP)、碱性磷酸酶(ALP)、血肌酐(SCr)、甲状旁腺激素(PTH)等指标,分析甲状旁腺超声特征与各指标的相关性。结果:甲状旁腺体积和与PTH、校正血清钙磷乘积呈正相关(r=0.531、0.341,P值均<0.05),与透析龄、SCa、SP、ALP、SCr、校正血清钙等均无相关性(P>0.05)。结论:超声检查可动态监测甲状旁腺的分泌状态,评估SHPT病情,为临床医师对SHPT的治疗及预后评估提供参考。
Objective:To assess the severity of secondary hyperparathyroidism(SHPT)by ultrasound.Methods:43 SHPT patients who underwent regular hemodialysis and parathyroid surgery in the First Affiliated Hospital of Medical College of Shihezi University from May 2015 to March 2020 were examined by ultrasound before operation.The ultrasonic characteristics of the target lesions were observed,and the parathyroid volume was calculated.and other indexes.Analyze the correlation between the ultrasonic characteristics of parathyroid gland and laboratory index,including serum calcium(SCa),serum phosphorus(SP),alkaline phosphatase(ALP),creatinine(SCr)and parathyroid hormone(PTH).Results:The parathyroid volume measured by ultrasound was positively correlated with PTH and corrected serum calcium-phosphorus product(r=0.531,P<0.341),but not with ALP,SCa,SP,SCr and corrected serum calcium(P>0.05).Conclusion:Ultrasonography can be benefit for the assessment of the severity of SHPT.
作者
马金梅
李军
刘文
MA Jin-mei;LI Jun;LIU Wen(Department of Ultrasound,the First Affiliated Hospital of Shihezi University School of Medicine,Xinjiang Shihezi,832008;NHC Key Laboratory of Prevention and Treatment of Central Asia High Incidence Diseases,Urumqi,830000)
出处
《农垦医学》
2022年第6期496-498,507,共4页
Journal of Nongken Medicine
基金
中国医学科学院中央级公益性科研院所基本科研业务费专项资金资助(2020-PT330-003)
兵团科技攻关项目(2019DB012)。
