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英文誌(2004-)

Journal of Medical Ultrasonics

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1995 - Vol.22

Vol.22 No.12

Original Article(原著)

(0859 - 0866)

原発性上皮小体機能亢進症の術前超音波診断

Preoperative Ultrasonography in Patients with Primary Hyperparathyroidism

鈴木 規之

Noriyuki SUZUKI

虎の門病院内分泌外科

Department of Endocrine Surgery, Toranomon Hospital

キーワード : Diagnostic sensitivity, Primary hyperparathyroidism, Ultrasonography

Eighty-three patients with primary hyperparathyroidism were examined preoperatively using 7.5 or 10 MHz real-time ultrasonography between 1989 and 1994. Seventy-four of these patients had a single adenoma, 2 had double adenomas, 6 had primary parathyroid hyperplasia, and 1 had a carcinoma. Ultrasonography correctly identified 71 of the 78 parathyroid adenomas, giving a sensitivity of 91%. Of the 25 glands in the 6 cases of hyperplasia, only 9 were identified, giving a sensitivity of 36%. One parathyroid carcinoma was correctly identified, and the overall sensitivity was 78% (81/104). There was a significant difference between detection sensitivity for adenoma and that for hyperplasia (p