医学信息
醫學信息
의학신식
Medical Information
2015年
43期
122-123
,共2页
核医学%原发性甲状旁腺功能亢进症%血清钙离子%甲状旁腺素
覈醫學%原髮性甲狀徬腺功能亢進癥%血清鈣離子%甲狀徬腺素
핵의학%원발성갑상방선공능항진증%혈청개리자%갑상방선소
Nuclear medicine%Primary hyperparathyroidism%Serum calcium%Parathyroid hormone
目的探讨核医学诊断原发性甲状旁腺功能亢进症的价值。方法择18例PHPT患者，所有患者采用9 m Tc-MDP骨扫描筛查代谢性骨病，代谢指数达5或以上者行9 mTc-MIBI双时相核素检查以及行9 mTcO4-甲状腺现象。结果18例患者入院时的生化检查结果显示，血清钙离子水平、甲状旁腺素(PTH)水平明显高于正常。所有患者拟诊为甲状旁腺功能亢进症，均经手术及病理确诊。结论核医学影像对PHPT诊断及其病灶定位具有较高的敏感性和准确性。
目的探討覈醫學診斷原髮性甲狀徬腺功能亢進癥的價值。方法擇18例PHPT患者，所有患者採用9 m Tc-MDP骨掃描篩查代謝性骨病，代謝指數達5或以上者行9 mTc-MIBI雙時相覈素檢查以及行9 mTcO4-甲狀腺現象。結果18例患者入院時的生化檢查結果顯示，血清鈣離子水平、甲狀徬腺素(PTH)水平明顯高于正常。所有患者擬診為甲狀徬腺功能亢進癥，均經手術及病理確診。結論覈醫學影像對PHPT診斷及其病竈定位具有較高的敏感性和準確性。
목적탐토핵의학진단원발성갑상방선공능항진증적개치。방법택18례PHPT환자，소유환자채용9 m Tc-MDP골소묘사사대사성골병，대사지수체5혹이상자행9 mTc-MIBI쌍시상핵소검사이급행9 mTcO4-갑상선현상。결과18례환자입원시적생화검사결과현시，혈청개리자수평、갑상방선소(PTH)수평명현고우정상。소유환자의진위갑상방선공능항진증，균경수술급병리학진。결론핵의학영상대PHPT진단급기병조정위구유교고적민감성화준학성。
Objective To investigate value of nuclear medicine diagnosing primary hyperparathyroidism.Methods 18 patients with PHPT,al patients were used Tc-MDP bone scanning metabolic bone disease,patients of achieving 5 or more were used Tc-MIBI double phase radionuclide examination and used 99mTcO4-of thyroid examination.Results Biochemical examination of 18 patients on admission show: level of serum calcium ion,level of parathyroid hormone (PTH) were significantly higher than those of normal, al patients were suspected hyperparathyroidism,al of them were confirmed by operation and pathology.Conclusion Nuclear medicine imaging has higher Sensitivity and accuracy for PHPT diagnosis and location of lesion.
