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Том 14 №3 2012 год - Нефрология и диализ

Оценка возможностей дооперационной сцинтиграфии и ультразвуковой диагностики в визуализации околощитовидных желез у пациентов с вторичным гиперпаратиреозом, получающих заместительную почечную терапию программным гемодиализом


Егшатян Л.В. Артемова А.М. Паша П.С. Рожинская Л.Я. Кузнецов Н.С. Ким И.В.

Аннотация: Эффективность дооперационной сцинтиграфии и ультразвуковой диагностики (УЗИ) в визуализации околощитовидных желез у пациентов с вторичным гиперпаратиреозом (ВГПТ), получающих лечение программным гемодиализом, остается дискуссионным вопросом. В исследование были включены 35 пациентов с ВГПТ, 22 из которых подверглись паратиреоидэктомии. Чувствительность и специфичность УЗИ и сцинтиграфии оценена у 22 пациентов. Чувствительность УЗИ и сцинтиграфии составила 94,7 и 41,3% соответственно, специфичность обоих методов составила 100%. При сочетании двух методов визуализации чувствительность составила 96%

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Ключевые слова: вторичный гиперпаратиреоз, гемодиализ, сцинтиграфия околощитовидных желез, ультразвуковая диагностика околощитовидных желез, secondary hyperparathyroidism, haemodialysis, parathyroid scintigraphy, neck ultrasound

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