摘要
目的研究原发性甲状旁腺功能亢进所致骨骼改变的特殊影像学征象(如好发骨骼影像学改变,特殊的病理学特征,性别差异),旨在提高对本病影像的诊断。方法对8例患者经手术病理证实为原发性甲状旁腺功能亢进所致骨改变的影像资料进行回顾性分析。结果所有患者均有广泛性骨质疏松改变,多部位受累及多种影像表现共存。其中骨质疏松8例,骨质破坏吸收6例,骨质软化2例,纤维囊性骨炎3例,软组织钙化1例,病理性骨折2例。结论中年女性患原发性甲状旁腺功能亢进机率高;骨质疏松多为发病早期的表现,骨膜下吸收为原发性甲状旁腺功能亢进进展期所特有,棕色瘤的出现标志着该病变已进入中晚期;从影像学角度分析其特有表现有利于正确诊断该病,并进一步确定病变程度,从而减少误诊,提高诊断率,明确病变程度,为临床医生提供正确的治疗方案提供影像学依据。
Objective To study the special imaging signs of bone changes （such as good hair bone imaging changes and special pathological features, gender differences） resulting from the primary hyperparathyroidism, so as to improve the im- aging diagnosis. Methods We retrospectively analyzed the 8 cases with primary hyperparathyroidism diagnosised by change of bone imaging data. Results All patients had most of size of osteoporosis change and many parts involved, and coexisted multiple image performance. There were 8 patients with osteoporosis and 6 cases with 6 bone damage absorp- tion, and 2 cases with bone softening, 3 cases with bone inflammation of cystic fiber, 1 case with soft tissue calcification, 2 cases with pathologic fracture. Conclusion The incidence of middle-aged women with primary hyperparathyroidism is high probability. Osteoporosis is early performance onset. Only the patients with primary hyperparathyroidism progress period perfored periosteum absorption, the advanced stage of this desease is signed by the appearance of brown tumor. From the perspective of imaging to analyze its unique performance, it is helpful to the diagnosis of the disease correctly, and further to determine the degree of pathologic changes, which can reduce the misdiagnosis and improve the diagnostic accuracy, know clearly the degree of pathological changes, and provide the correct imaging basis for treatment for clinical doctors.
出处
《医学影像学杂志》
2014年第2期205-208,共4页
Journal of Medical Imaging
关键词
影像学
甲状旁腺功能亢进
骨病
诊断价值
Imaging Hyperparathyroidism
Bone desease
The diagnosis value
