超声引导下无水乙醇治疗继发性甲状旁腺功能亢进的应用价值

发布时间：2019-05-11 10:17

【摘要】：目的评估超声引导下医用无水乙醇治疗继发性甲状旁腺功能亢进的治疗效果和应用价值。方法比较分析56例慢性肾功能衰竭继发甲状旁腺功能亢进患者,经超声引导无水乙醇治疗前后甲状旁腺超声图像和血清甲状旁腺激素(PTH)水平的变化,评价其治疗效果。结果无水乙醇穿刺介入治疗前后对比甲状旁腺回声不均匀增强,血流信号明显减少。甲状旁腺腺体积由(2.32±0.64)cm3缩小为(2.15±0.53)cm3,但差异无统计学意义(t=1.65,P0.05);血清PTH水平由(987±95.2)ng/L明显下降为(434±56.6)ng/L,差异有统计学意义(t=5.96,P0.01)。结论超声引导下无水乙醇治疗继发性甲状旁腺功能亢进疗效确切,治疗前后超声图像及血PTH的变化可作为观察疗效的重要指标,具有重要临床应用价值。
[Abstract]:Objective to evaluate the therapeutic effect and application value of ultrasound-guided medical anhydrous ethanol in the treatment of secondary hyperparathyrothyroidism. Methods the changes of ultrasound images and serum parathyrotropin (PTH) levels in 56 patients with hyperparathyrothyroidism secondary to chronic renal failure were compared and analyzed before and after ultrasound-guided anhydrous ethanol treatment, and the therapeutic effect was evaluated. Results before and after anhydrous ethanol puncture and interventional therapy, the echo of parathyroid gland was inhomogeneously enhanced and the blood flow signal was significantly decreased. The volume of parathyroid gland decreased from (2.32 卤0.64) cm3 to (2.15 卤0.53) cm3, but the difference was not statistically significant (t 鈮，

本文编号：2474410