The diagnostic value of ultrasonography in refractory secondary hyperparathyroidism
BI Mingsen
CAO Junying
ZHANG Yun
JIN Zhuang
LIU Cong
ZHANG Yan
SUN Yu
Abstract：Objective To study the diagnostic value of ultrasonography in patients with refractory secondary hyperparathyroid-ism (SHPT). Methods 98 patients with refractory SHPT underwent ultrasonography. The location and number were noted. Echoes of enlarged parathyroid were analyzed. We compared with pathology and calculated coincidence rate, misdiagnosis rate, relevance rate and omission diagnostic rate. Results Echoes of enlarged parathyroid are low level echo (99.3%), affl-uent blood flow (92.3%),maximum diameter larger than 10 mm (86.3%). Coinci-dence rate is 95.2%(300/315), misdiagnosis rate is 4.8%(15/315),relevance rate is 81.1%(300/370) and omission diagnose rate is 18.9%(70/370). Relevance rate of middle part of thyroid is 65.7%(65/99) and relevance rate of upper and subjacent part of thyroid is 87.3%(234/268). The difference between them is significant (χ2=32.971, P =0.000). Conclusion Ultrasonography in patients with refractory SHPT can be a choice for parathyroid location before operation by virtue of its high relevance rate and accurate location, then it can give more dependable evidence to doctor.
Keywords：Secondary hyperparathyroidismParathyroidUltrasonography
Publication Date：2018-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 30-33 )