| 陈志奎,张秀娟,黄静,魏洪芬,薛恩生,何以敉,林礼务.高频超声诊断腮腺肿瘤[J].中国医学影像技术,2011,27(9):1775~1778 |
| 高频超声诊断腮腺肿瘤 |
| High frequency ultrasound in diagnosis of parotid tumors |
| 投稿时间：2011-02-10 修订日期：2011-06-03 |
| DOI： |
| 中文关键词: 腮腺肿瘤 超声检查 诊断显像 |
| 英文关键词:Parotid neoplasms Ultrasonography Diagnostic imaging |
| 基金项目:福建医科大学青年骨干教师基金(201007)。 |
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| 中文摘要: |
| 目的 探讨高频超声对腮腺肿瘤的诊断价值。方法 回顾经病理确诊的72例腮腺肿瘤患者的高频超声检查结果,分析其声像图表现、诊断符合情况等。结果 腮腺混合瘤、淋巴瘤性乳头状囊腺瘤、腮腺癌共占本组腮腺肿瘤的90.28%(65/72),超声诊断符合率分别为88.00%(22/25)、56.25%(9/16)、45.83%(11/24)。淋巴瘤性乳头状囊腺瘤多发生于老年男性,血流信号较丰富。部分早期或低度恶性腮腺癌缺乏典型的恶性肿瘤声像特征,高频超声难以做出准确诊断。结论 腮腺肿瘤的定性诊断主要是混合瘤、淋巴瘤性乳头状囊腺瘤、腮腺癌三者的鉴别诊断,密切结合临床综合诊断可提高超声诊断符合率。 |
| 英文摘要: |
| Objective To investigate the diagnostic value of high frequency ultrasound in parotid tumors. Methods High frequency ultrasonic manifestations and the diagnostic coincidence rate in 72 patients with pathologically confirmed parotid tumors were retrospectively analyzed. Results Pleomorphic adenoma, Warthin tumor and parotid cancer accounted for 90.28% (65/72) of all the 72 cases of parotid tumors, and the ultrasonic diagnostic coincidence rate of them was 88.00% (22/25), 56.25% (9/16) and 45.83% (11/24), respectively. Warthin tumor mostly occurred in elder men, which showed rich blood flow signal. Parts of parotid cancers without typical malignant features were difficult to be identified with ultrasonography. Conclusion The differential diagnosis of parotid tumors mainly focus on pleomorphic adenoma, Warthin tumor and parotid cancer. Combination closely with clinic information is an important way to improve ultrasonic diagnostic coincidence rate. |
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