正常的副甲状腺最常见于部超声波
J-G Marchand1, C Ghander2, M Bienvenu-Perrard3
1Thyroid and Endocrine Tumors Department. La Pitié-Salpêtrière Hospital. Sorbonne University, GRC N°16. 83 Bd de l'Hôpital, 75013, Paris, France; Centre of Pathology and Radiology, Paris, France.
Academic radiology
|May 22, 2024
概括
在75%的患者中,正常的副甲状腺 (PTG) 在超声波 (US) 上可见,通常在甲状腺附近.
科学领域:
- 放射学 放射学是一门学科.
- 内分泌学 在内分泌学.
- 人体解剖学 解剖学 解剖学
背景情况:
- 传统上,正常的副甲状腺 (PTG) 被认为在超声波 (美国) 上是不可见的.
- 最近的研究表明,PTG表现出特定的美国特征:卵状形状,均的回声纹理和超高原性.
- 了解正常的PTG可视化对于准确的诊断和手术规划至关重要.
研究的目的:
- 在甲状腺检查中确定正常PTG的检测率,标准尺寸和常见位置.
- 为了调查或甲状腺炎是否影响正常PTG的可视化.
主要方法:
- 一项前性单中心研究,涉及192名接受甲状腺治疗的患者.
- 基于之前描述的美国特征来识别PTG.
- 分析检测率,腺体尺寸,位置和甲状腺疾病的影响.
主要成果:
- 在75%的患者 (144/192) 中可视化正常的PTG.
- 最常见的位置是下部甲状腺极和甲状腺下部区域 (66%).
- 平均PTG大小约为5.68 x 4.05 x 2.68毫米,平均体积为33.3毫米;肠阻碍了可视化,而甲状腺炎则促进了可视化.
结论:
- 超声波检测正常的PTG在很高比例的病例中是可行的 (75%).
- 识别正常的PTG有助于进行甲状腺和副甲状腺手术的术前评估,可能降低低甲状腺功能障碍症的风险.
- 了解正常的PTG解剖学可以更好地检测异常腺体,并提高术后监测的准确性.
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