腮腺造影锥形束CT检查在慢性腮腺炎诊断中的应用

发布时间：2018-05-29 23:11

本文选题：腮腺造影 + 锥形束CT(CBCT)　；参考：《实用口腔医学杂志》2017年06期

【摘要】：目的:探讨腮腺造影后锥形束CT(CBCT)在慢性腮腺炎诊断中的应用。方法:对20例可疑慢性腮腺炎症的患者行腮腺造影术后进行CBCT检查,对多平面重建(MPR)横断面、冠状面、矢状面及三维重建图像进行分析。结果:MPR横断面、冠状面、矢状面和三维重建图像均可以从任意方向显示腺体和导管,6例慢性复发性腮腺炎腮腺造影CBCT表现为腺体实质内末梢导管呈现大量点球状扩张为特征,其中4例主导管系统未见异常,2例呈现管炎表现;14例慢性阻塞性腮腺炎腮腺造影CBCT表现为主导管不规则扩张及狭窄,3例出现腺体内"点扩",2例查及阴性涎石。结论:腮腺造影CBCT检查能清晰立体地显示腮腺导管系统和腺体影像,可以作为临床检查慢性腮腺炎的有效方法,对指导临床治疗有重要意义。
[Abstract]:Objective: to investigate the application of Cone-bundle CT (CBCT) in the diagnosis of chronic parotitis after parotid gland angiography. Methods: twenty patients with suspected chronic parotitis were examined with CBCT after parotid gland contrast. The cross section, coronal plane, sagittal plane and three dimensional reconstruction images were analyzed. Results the CBCT of 6 cases of chronic recurrent parotitis demonstrated by CBCT showed a large number of dot spherical dilatation of the endings in the parenchyma of the gland, including the cross section, the coronal plane, the sagittal plane and the three-dimensional reconstruction images of the parotid gland in 6 cases of chronic recurrent parotitis in any direction. Of them, 4 cases showed no abnormality in the main duct system, 2 cases showed tracheitis, 14 cases showed chronic obstructive parotitis, 14 cases showed irregular dilatation of the dominant duct and 3 cases had stenosis, 2 cases had intraglandular "dot dilation" and 2 cases were sialolithiasis. Conclusion: parotid gland angiography CBCT can clearly and stereoscopically display parotid duct system and glandular image, which can be used as an effective method for clinical examination of chronic parotitis, and has important significance in guiding clinical treatment.
【作者单位】：河北医科大学口腔医学院;
【分类号】：R781.72

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