Ultrasound diagnosis of the parathyroid glands changes during the clinical examination
- 作者: Kraynyukov P.E.1, Rybchinsky S.S.1, Kotkovets N.A.1
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隶属关系:
- The P.V.Mandryka Central Military Clinical Hospital of the Ministry of Defense of the Russian Federation
- 期: 卷 343, 编号 7 (2022)
- 页面: 23-26
- 栏目: Treatment and prophylactic issues
- URL: https://journals.eco-vector.com/0026-9050/article/view/629917
- DOI: https://doi.org/10.52424/00269050_2022_343_7_23
- ID: 629917
如何引用文章
详细
Within the planned ultrasound examination of the thyroid gland during the clinical examination, an assessment was made of the detection of extrathyroid formations, correlated by topography with a probable lesion of the parathyroid glands, in 778 men (age 65.30±19.54 years) and 556 women (67.55±11.03 years). In 10 and 11 patients (1.72% of all examined), focal changes were visualized in interest (without significant gender differences, p=0.75) – variants of the echographic picture: a classic formation occupying the entire volume (n=12; dimensions 12.2±6.06 mm) or a part (n=8; 5.1±1.52 mm) of the parathyroid gland (p=0.0048), as well as «mimicry» of the affected organ (n=4; 6.83±1.47 mm). When compared with the results of laboratory data (concentration of parathyroid hormone/total calcium), the relationship was determined arbitrarily in 1/3 of the cases. The rest showed «dissociation» between the methods of correlation (r=0). Despite the high resolution of ultrasound examination in determining focal changes located paratracheally and paraesophageally at the poles of the thyroid gland, a targeted search for changes in the parathyroid glands during a planned ultrasound examination of the thyroid gland is inappropriate both because of the ambiguity of the data got in the diagnosis of hyperparathyroidism, and distracting the attention of a specialist from paramount task.
作者简介
P. Kraynyukov
The P.V.Mandryka Central Military Clinical Hospital of the Ministry of Defense of the Russian Federation
Email: rss_@list.ru
доктор медицинских наук, доцент, генерал-майор медицинской службы
俄罗斯联邦, MoscowS. Rybchinsky
The P.V.Mandryka Central Military Clinical Hospital of the Ministry of Defense of the Russian Federation
编辑信件的主要联系方式.
Email: rss_@list.ru
кандидат медицинских наук, подполковник медицинской службы
俄罗斯联邦, MoscowN. Kotkovets
The P.V.Mandryka Central Military Clinical Hospital of the Ministry of Defense of the Russian Federation
Email: rss_@list.ru
俄罗斯联邦, Moscow
参考
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