以多发结节、肿块为特征的腮腺嗜酸性淋巴肉芽肿的多层螺旋CT诊断

发布时间：2018-02-25 00:16

  本文关键词： 腮腺肿瘤 血管淋巴样增生 嗜酸粒细胞增多性 体层摄影术 螺旋计算机　出处：《中国医学影像学杂志》2017年10期 　论文类型：期刊论文

【摘要】：目的探讨结节、肿块型腮腺嗜酸性淋巴肉芽肿的临床及多层螺旋CT(MSCT)特征,以提高对本病的认知。资料与方法回顾性分析2007年6月-2016年3月于重庆市九龙坡区中医院经手术病理证实的6例结节、肿块型嗜酸性淋巴肉芽肿患者的临床及影像学资料,并选取32例同期经手术病理证实的Warthin瘤患者。所有患者均行MSCT平扫+增强扫描,比较两组患者的临床及MSCT特征。结果嗜酸性淋巴肉芽肿患者年龄均≤50岁。与Warthin瘤患者比较,嗜酸性淋巴肉芽肿患者外周血嗜酸性粒细胞绝对值及比例和血清IgE水平均增高,差异有统计学意义(P0.01)。与Warthin瘤患者比较,嗜酸性淋巴肉芽肿患者常伴随同侧腮腺肿大、颈深筋膜增厚、边缘模糊、病灶囊变少及颈部淋巴结肿大。嗜酸性淋巴肉芽肿患者增强扫描呈延迟强化,静脉期及延迟期强化明显;Warthin瘤患者动脉期明显强化,延迟期排空。结论结节、肿块型嗜酸性淋巴肉芽肿患者MSCT表现具有炎性病变特征,肿块密度相对均匀,且呈延迟强化改变。结合临床及实验室检查有助于与Warthin瘤鉴别。
[Abstract]:Objective to investigate the clinical and multilayer spiral CTT features of nodule and mass type eosinophilic lymphogranuloma in parotid gland. Data and methods the clinical and imaging data of 6 patients with nodular and mass eosinophilic granuloma confirmed by surgery and pathology from June 2007 to March 2016 in Jiulongpo District Chinese Medicine Hospital of Chongqing were analyzed retrospectively. 32 patients with Warthin tumor confirmed by operation and pathology in the same period were selected. All the patients underwent plain enhanced MSCT scanning to compare the clinical and MSCT characteristics of the two groups. Results the age of the patients with eosinophilic lymphogranuloma was 鈮，

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