Localizing diagnosis of primary hyperparathyroidism
- VernacularTitle:原发性甲状旁腺功能亢进的定位诊断
- Author:
Jianping ZHOU
;
Yuji LI
;
Ming DONG
;
Fanmin KONG
;
Jiguang LI
;
Kejian GUO
;
Yulin TIAN
- Publication Type:Journal Article
- Keywords:
Hyperparathyroidism;
Diagnosis;
Localization
- From:
Chinese Journal of General Surgery
1997;0(04):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the diagnostic value of US, ECT, CT and MRI in primary hyperparathyroidism (PHPT). Methods Data of 34 PHPT patients with diagnosis confirmed by postoperative pathology were retrospectively reviewed from January 1, 1990, through March 31, 2004. Results The preoperative diagnosis in 22 out of 25 cases (88%) undergoing preoperative ultrasonography of the neck with a positive result was verified by intraoperative findings. For 99m Tc-MIBI, CT and MRI, the positive results were 95%, 69% and 100% respectively. Conclusion Ultrasonography and 99m Tc-MIBI should be considered as the first choice for preoperative loci localization in patients with PHPT. Ultrasonography and 99m Tc-MIBI in combination is more sensitive and accurate for the localization of PHPT.
