实时剪切波弹性成像技术在腮腺内实性良性包块诊断中的价值

发布时间：2018-03-13 17:52

本文选题：彩色多普勒超声　切入点：腮腺良性包块　出处：《中国超声医学杂志》2014年12期 　论文类型：期刊论文

【摘要】：目的应用超声的实时剪切波弹性成像(SWE)技术对腮腺内实性良性包块进行弹性模量测量,探讨其在腮腺内实性良性包块鉴别诊断中的临床价值。方法选择168例腮腺内包块行外科手术或病理组织活检的患者,包括混合瘤65例,腺淋巴瘤45例,淋巴结58例,每例患者手术前或病理组织活检前均行SWE,得到腮腺内实性良性包块弹性模量的最大值及平均值,3组患者的弹性模量最大值及平均值进行组间比较。结果混合瘤组弹性模量最大值(158.68±3.36)kPa,平均(130.67±3.24)kPa;腺淋巴瘤组弹性模量最大值(98.89±3.30)kPa,平均(67.60±2.03)kPa,淋巴结组弹性模量最大值(54.99±2.36)kPa,平均(34.22±2.24)kPa,3组均值不来自同一总体,组间具有可比性。每两组之间的弹性模量最大值及平均值相比有统计学意义(P0.001)。结论SWE技术能分辨腮腺内不同实性良性包块的性质,为临床医师明确诊断腮腺内实性包块进一步提供理论依据。
[Abstract]:Objective to measure the elastic modulus of solid benign parotid gland mass by using the real time shear wave elastic imaging (SWE) technique of ultrasound. To evaluate its clinical value in differential diagnosis of solid benign parotid mass, 168 patients with parotid gland mass underwent surgical or pathological biopsy, including 65 cases of mixed tumor, 45 cases of adenomatous lymphoma, 58 cases of lymph node. SWE was performed in each patient before operation or biopsy. The maximum and average elastic modulus of solid benign mass in parotid gland were obtained and compared among the three groups. The maximum modulus of elasticity was 158.68 卤3.36kPawith an average of 130.67 卤3.24kPa.The maximum of elastic modulus in adenomatous lymphoma group was 98.89 卤3.30kPa. the mean value was 67.60 卤2.03kPa. in lymph node group, the maximum elastic modulus was 54.99 卤2.36kPa. the mean value of group 34.22 卤2.24kPa3 was not from the same population. The maximum and average elastic modulus of each group was statistically significant compared with the average value (P 0.001). Conclusion SWE technique can distinguish the properties of different solid benign masses in parotid gland. To provide further theoretical basis for clinicians to diagnose solid parotid masses.
【作者单位】：中国医科大学附属第一医院超声科;中国医科大学附属口腔医院口腔颌面外科;
【基金】：国家青年科学基金(No.81102058)
【分类号】：R739.8

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