原发甲状旁腺功能亢进性骨病的影像学诊断
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[摘要] 目的 分析甲状旁腺功能亢进(PHPT)性骨病的影像学表现。 方法 结合相关文献回顾性分析7例手术病理或随访证实为PHPT患者的影像资料。全部病例均行多部位骨骼X线平片检查，其中1例另行头颅CT扫描。 结果 全部7例病例均有不同程度的骨质疏松，达100%；其中6例见骨膜下或软骨下骨吸收；5例见纤维囊性骨炎改变；3例出现病理性骨折；1例见肾结石。 结论 骨质疏松、骨膜下、软骨下骨吸收等X线征象对诊断甲状旁腺功能亢进性骨病有较高的价值。
[关键词]甲状旁腺功能亢进；纤维囊性骨炎；骨吸收
[中图分类号] R445 [文献标识码] B [文章编号] 2095-0616(2013)14-111-02
Imaging diagnosis of primary hyperparathyroidism osteopathy
MO Meixun LI Liyin
Department of Radiology，the People's Hospital of Duanzhou District，Zhaoqing 526040，China
[Abstract] Objective To analyze the imaging fetures of primary hyperparathyroidism(PHPT) osteopathy. Methods Combined with relevant literature，the imaging data of 7 patients with hyperparathyroidism confirmed by surgical pathology or follow-up were retrospectively analyzed.All cases were done multiple sites bone X ray examination，of which 1 case was done head CT scan. Results All 7 cases had different degree of osteoporosis(100%)，of which 6 cases had subperiosteal or subchondral bone resorption；5 cases had osteitis fibrosa cystica changes；3 cases had pathologic fracture；1 case had renal calculus ......
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