涎腺多形性腺瘤与Warthin瘤的流行病学资料及彩色多普勒超声声像图对比分析

发布时间：2018-06-01 08:29

  本文选题：涎腺 + 多形性腺瘤　； 参考：《南京医科大学学报(自然科学版)》2017年12期

【摘要】：目的:研究涎腺多形性腺瘤与Warthin瘤的病史资料及彩色多普勒超声声像图特征,探讨两者的超声鉴别诊断要点。方法:回顾分析涎腺多形性腺瘤61例(66枚)及Warthin瘤23例(30枚)的病史资料及病灶的高频彩超检查资料。比较两种病灶的部位、数目、形态、边界、内部及后方回声情况、彩色血流特点等。结果:流行病学统计Warthin瘤发病年龄更大、男性多见、几乎全发生于腮腺、初始病灶多发率高于多形性腺瘤(P0.05);彩色多普勒超声声像图比较,在病灶是否规则、边界、内部低回声、钙化及血流Ⅱ、Ⅲ级的分布上无统计学差异,均以规则形态为主,境界清晰,内为低回声,后方回声增强多见(P0.05);但多形性腺瘤呈分叶状、内部回声均匀性及血流Ⅰ级高于Warthin瘤,而Warthin瘤在内部液化、多条索样结构及血流Ⅳ级高于多形性腺瘤(P0.05)。结论:涎腺多形性腺瘤与Warthin瘤流行病学不同,彩色多普勒超声表现有部分共同特性,但也有不同特征,结合病史及不同特征(病灶回声均匀性、内部液化、纤维条索回声及血流信号的差异)对其鉴别诊断有较好的帮助。
[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，

本文编号：1963539