CAJ | 학술논문

　　目的分析甲状旁腺功能亢进（PHPT）性骨病的影像学表现。方法结合相关文献回顾性分析7例手术病理或随访证实为PHPT患者的影像资料。全部病例均行多部位骨骼X线平片检查，其中1例另行头颅CT扫描。结果全部7例病例均有不同程度的骨质疏松，达100%；其中6例见骨膜下或软骨下骨吸收；5例见纤维囊性骨炎改变；3例出现病理性骨折；1例见肾结石。结论骨质疏松、骨膜下、软骨下骨吸收等X线征象对诊断甲状旁腺功能亢进性骨病有较高的价值。
　　목적분석갑상방선공능항진（PHPT）성골병적영상학표현。방법결합상관문헌회고성분석7례수술병리혹수방증실위PHPT환자적영상자료。전부병례균행다부위골격X선평편검사，기중1례령행두로CT소묘。결과전부7례병례균유불동정도적골질소송，체100%；기중6례견골막하혹연골하골흡수；5례견섬유낭성골염개변；3례출현병이성골절；1례견신결석。결론골질소송、골막하、연골하골흡수등X선정상대진단갑상방선공능항진성골병유교고적개치。
Objective To analyze the imaging fetures of primary hyperparathyroidism(PHPT) osteopathy. Methods Combined with relevant literature,the imaging data of 7 patients with hyperparathyroidism confirmed by surgical pathology or follow-up were retrospectively analyzed.All cases were done multiple sites bone X ray examination,of which 1 case was done head CT scan. Results All 7 cases had different degree of osteoporosis(100%),of which 6 cases had subperiosteal or subchondral bone resorption;5 cases had osteitis fibrosa cystica changes;3 cases had pathologic fracture;1 case had renal calculus. Conclusion Osteoporosis,subperiosteal and subchondral bone resorption of x-ray imaging in the diagnosis of hyperparathyroidism osteopathy have a higher value.