Медицинская литература. Новинки

 

 

 

 

 

 

Гиперплазия паращитовидных желез при вторичном гиперпаратиреозе: возможности ультразвукового метода (обзор литературы)

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В обзоре литературы освещены вопросы ультразвуковой диагностики гиперплазии паращитовидных желез при вторичном гиперпаратиреозе у пациентов с хронической болезнью почек. Представлена информация о патогенезе вторичного гиперпаратиреоза и особенностях изменений паращитовидных желез при данной патологии. Проведен анализ преимуществ и недостатков эхографии по сравнению с другими методами визуализации. Описаны возможности УЗИ паращитовидных желез в В-режиме, а также с использованием допплеровских методик, в том числе для оценки морфологического варианта гиперплазии.

Ключевые слова:
ультразвуковая диагностика, паращитовидные железы, В-режим, допплеровское картирование, вторичный гиперпаратиреоз, хроническая болезнь почек, ultrasound diagnostics, parathyroid glands, gray scale, doppler ultrasound, secondary hyperparathyroidism, chronic kidney disease

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Parathyroid Glands Hyperplasia in Patients with Secondary Hyperparathyroidism: the Use of the Ultrasound Assessment (Literature Rewiew)

Questions of ultrasound diagnostics of parathyroid glands hyperplasia in patients with chronic kidney disease are analyzed in this literature review. Pathogenesis of secondary hyperparathyroidism and specific parathyroid gland changes with this pathology are discussed. Information on strengths and weaknesses of sonography in comparison with other methods of visualization are summarized. Diagnostic potential of ultrasound examination of parathyroid glands utilizing gray scale and Doppler ultrasound is described including assessment of morphological variants of hyperplasia.

Keywords:
ультразвуковая диагностика, паращитовидные железы, В-режим, допплеровское картирование, вторичный гиперпаратиреоз, хроническая болезнь почек, ultrasound diagnostics, parathyroid glands, gray scale, doppler ultrasound, secondary hyperparathyroidism, chronic kidney disease