發(fā)布時(shí)間：2018-06-01 08:29

  本文選題：涎腺 + 多形性腺瘤　； 參考：《南京醫(yī)科大學(xué)學(xué)報(bào)(自然科學(xué)版)》2017年12期

【摘要】：目的:研究涎腺多形性腺瘤與Warthin瘤的病史資料及彩色多普勒超聲聲像圖特征,探討兩者的超聲鑒別診斷要點(diǎn)。方法:回顧分析涎腺多形性腺瘤61例(66枚)及Warthin瘤23例(30枚)的病史資料及病灶的高頻彩超檢查資料。比較兩種病灶的部位、數(shù)目、形態(tài)、邊界、內(nèi)部及后方回聲情況、彩色血流特點(diǎn)等。結(jié)果:流行病學(xué)統(tǒng)計(jì)Warthin瘤發(fā)病年齡更大、男性多見(jiàn)、幾乎全發(fā)生于腮腺、初始病灶多發(fā)率高于多形性腺瘤(P0.05);彩色多普勒超聲聲像圖比較,在病灶是否規(guī)則、邊界、內(nèi)部低回聲、鈣化及血流Ⅱ、Ⅲ級(jí)的分布上無(wú)統(tǒng)計(jì)學(xué)差異,均以規(guī)則形態(tài)為主,境界清晰,內(nèi)為低回聲,后方回聲增強(qiáng)多見(jiàn)(P0.05);但多形性腺瘤呈分葉狀、內(nèi)部回聲均勻性及血流Ⅰ級(jí)高于Warthin瘤,而Warthin瘤在內(nèi)部液化、多條索樣結(jié)構(gòu)及血流Ⅳ級(jí)高于多形性腺瘤(P0.05)。結(jié)論:涎腺多形性腺瘤與Warthin瘤流行病學(xué)不同,彩色多普勒超聲表現(xiàn)有部分共同特性,但也有不同特征,結(jié)合病史及不同特征(病灶回聲均勻性、內(nèi)部液化、纖維條索回聲及血流信號(hào)的差異)對(duì)其鑒別診斷有較好的幫助。
[Abstract]:Objective: to study the history of pleomorphic adenoma and Warthin's tumor of salivary gland and the characteristics of color Doppler ultrasonography. Methods: the history of 61 cases of pleomorphic adenoma of salivary gland (66 cases) and 23 cases of Warthin tumor (30 cases) were analyzed retrospectively. The location, number, shape, boundary, internal and posterior echo, color flow characteristics of the two lesions were compared. Results: Epidemiological statistics showed that Warthin tumors were more common in men, almost all of them occurred in parotid gland, and the initial rate of multiple lesions was higher than that of pleomorphic adenoma (P 0.05). There was no statistical difference in the distribution of calcification and blood flow grade 鈪，

本文編號(hào)：1963539