Correlation analysis of high precision blood flow imaging in secondary parathyroid function in maintenance hemodialysis patients

• Main Authors: Wen-Ze Du, Le Chen, Xiao-Yun Wu
• Format: Article
• Language: English
• Published: Editorial Board of Journal of Hainan Medical University 2016-12-01
• Series: Journal of Hainan Medical University
• Subjects: High precision blood flow imaging; Uremia; Maintenance hemodialysis; Secondary parathyroid function
• Online Access: http://www.hnykdxxb.com/PDF/201624/19.pdf

Objective: To investigate the value of high precision blood flow imaging (Fine-Flow) in secondary parathyroid function (SHPT) in patients with maintenance hemodialysis (MHD). Methods: A total of 95 MHD patients with SHPT in our hospital from January 2015 to June 2016 were selected as the research object. According to the Fine-Flow examination of parathyroid gland, 73 cases were divided into display group, 22 cases were not shown; Display group according to the hyperplasia of parathyroid diameter were divided into <0.5 cm group of 17 cases, 0.5-1.0 cm group of 21 cases, 1-1.5 cm group of 18 cases, >1.5 cm group of 17 cases; display group according to the blood flow into the rich group of 41 cases, not rich group of 32 cases; according to whether calcification were divided into calcification group of 43 cases, non calcified group of 30 cases. CDFI was used for the anterior region of neck transverse and longitudinal scanning, check the thyroid and around the dorsal lobes.The size, echo, lesion number and blood flow were measured, parathyroid hormone (PTH), serum calcium (Ca), phosphorus (P), and calculate the Ca and P product (Ca×P) were measured. Results: PTH and Ca of the display group were significantly higher than that of the non display group, and differences in P and Ca×P were not statistically significant; Parathyroid diameter >1.5 cm PTH levels were significantly higher than the other three groups, diameter 1-1.5 cm group and >1.5 cm group Ca, diameter Ca×P was higher than that in group <5 cm and 0.5-1.0 cm group, difference in P of four groups was not statistical significant; group PTH, P, abundant blood flow Ca×P were not significantly higher than the rich group, difference in P of two groups was no statistical significance; group Ca was significantly higher than that of calcification calcification group, differences in PTH, P, Ca×P of the two groups were not statistically significant. Conclusions: MHD patients with SHPT, parathyroid Fine-Flow display rate is high, and has the characteristic performance. Its operation is simple, non-invasive, and can be used as a routine examination of SHPT, to assess the situation of thyroid hyperplasia, guiding clinical treatment.