原发性甲状旁腺功能亢进性骨病X线、CT影像学特征

发布时间：2018-05-25 02:13

本文选题：甲状旁腺功能亢进 + 甲状旁腺腺瘤　；参考：《中国当代医药》2016年10期

【摘要】：目的探讨原发性甲状旁腺功能亢进性骨病的X线及CT影像学特征。方法选取本院2001年1月~2014年12月经临床证实的10例原发性甲状旁腺功能亢进性骨病患者作为研究对象,分析其X线及CT影像学特征。结果10例原发性甲状旁腺功能亢进性骨病患者的X线及CT影像均表现为多骨受累,8例表现为骨质疏松,5例表现为骨膜下骨吸收,所有患者均伴发纤维囊性骨炎或棕色瘤。10例原发性甲状旁腺功能亢进患者中,甲状旁腺腺瘤9例,甲状旁腺增生1例。6例行CT增强扫描示棕色瘤有明显均匀或不均匀强化。结论原发性甲状旁腺功能亢进性骨病具有普遍性骨质疏松,出现多骨骨膜下骨皮质吸收及多骨发生纤维囊性骨炎或棕色瘤的特征性表现时,结合实验室甲状旁腺激素及颈部CT检查可确诊本病。
[Abstract]:Objective to investigate the X-ray and CT imaging features of primary hyperparathyroidism bone disease. Methods 10 cases of primary hyperparathyroidism with hyperparathyroidism confirmed in January 2001 ~2014 years in our hospital were selected as subjects, and their X-ray and CT imaging features were analyzed. 10 cases of primary hyperparathyroidism with hyperparathyroidism were found. The X-ray and CT images of the patients were all bone involvement, 8 cases showed osteoporosis, 5 cases showed subperiosteal absorption, all patients were accompanied by cystic osteitis or brown tumor.10 cases of primary hyperparathyroidism, 9 cases of parathyroid adenoma, 1 cases of parathyroid hyperplasia and.6 routine CT enhanced scan showed that brown tumor was obvious Conclusion primary hyperparathyroidism with hyperparathyroidism is characterized by universal osteoporosis, the appearance of subperiosteal absorption of multiple bone and characteristic manifestations of cystic osteitis or brown tumor of multiple bone, and the diagnosis of this disease by laboratory parathyroid hormone and cervical CT.
【作者单位】：深圳市职业病防治院放射科;肇庆市第二人民医院影像科;
【分类号】：R582.1;R816.6

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