摘要
①目的探讨原发性甲状旁腺功能亢进症(PHPT)所致骨关节X线改变及其临床特点。②方法回顾总结经手术和病理证实的8例PHPT病人的临床资料及X线表现。③结果PHPT病人临床表现多样,实验室检查示高钙血症、高尿钙、低磷血症、甲状旁腺激素增高,血碱性磷酸酶升高。骨关节改变X线主要表现为全身骨质稀疏、骨膜下骨质吸收、纤维囊样骨炎、颅盖骨磨砂玻璃样变等。④结论PTPH临床表现多样易误诊,骨关节X线特征对诊断有重要价值,结合血钙、磷、甲状旁腺激素测定可对本病做出正确诊断。
Objective To study the X ray appearance of bones and joints and the clinical characteristics caused by primary hyperparathyroidism （PTPH）. Methods The clinical data of eight cases of PTPH patients confirmed by operation and pathology were reviewed. Results The clinical manifestations were diverse. Laboratory： hypercalcemia, hypercalnuria, hypophosphatemia and hyperalkaline phosphatasemia. X-ray： generalized osteoporosis, subperiosteal bone absorption, fibrocystic ostitis and ground glass appearance of cranium. Conclusion PTPH clinical manifestations vary, which easily lead to misdiagnosis. The X-ray features of bones and joints have an important value for the diagnosis, which, together with clinical manifestation, detection of blood calculus, phosphor and parathyrine, may make an accurate diagnosis of the disease.
出处
《青岛大学医学院学报》
CAS
2005年第3期195-197,共3页
Acta Academiae Medicinae Qingdao Universitatis
