摘要
目的比较腮腺多形性腺瘤和Warthin瘤的超声、影像学特征及临床表现。方法选取本科手术治疗的107例腮腺多形性腺瘤和38例Warthin瘤患者为研究对象,均经术后病理确诊,并具有完整临床资料。按照病理结果分为腮腺多形性腺瘤组和Warthin瘤组,比较两组患者平均年龄,性别组成,累及部位,平均病程,吸烟率,B超及CT特征。结果相对于腮腺多形性腺瘤组,Warthin瘤组平均年龄,男性比例,吸烟率较高,而平均病程较短,差异有统计学意义(P<0.05)。Warthin瘤组病灶以后下象限多见,B超下血流信号较为丰富,CT密度较高;腮腺多形性腺瘤组后下象限病灶少见,B超下血流信号和CT密度均较低。结论根据腮腺瘤患者的年龄、性别、病程、吸烟史等临床资料,结合B超、CT等检查的特征性表现,可在术前区分Warthin瘤和腮腺多形性腺瘤,制定合适的手术方案。
Objective To compare and analysis clinical characteristics ,Dppler ultrasonography and CT imaging features of Warthin′s tumor and pleomorphic adenoma of the parotid gland .Methods Thirty-eight cases of Warthin′s tumor and 107 cases of pleomorphic adenoma of the parotid gland in our hospital were selected and divided into Warthin′s tumor group and pleomorphic adenoma group .Average age ,gender ,position of onset ,mean course of disease ,smoking rates and Doppler ultrasonography and CT imaging features of 2 groups were compared and analyzed .Results Compared with pleomorphic adenoma group ,the average age ,percentage of males ,smoking rates were higher in Warthin′s tumor group but the mean course of disease was short ,which showed significant difference（P〈0 .05） .The site of Warthin′s tumor mostly occurred in lower posterior polar of the parotid gland .Doppler results indicated more abundant blood supply in Warthin′s tumors group .CT imagine results also indicated higher density in Warthin′s tumors group than in pleomorphic adenomas group .Conclusion According to the group constituent ratio of disease ,average age , gender ,mean course of disease combined with Doppler ultrasonography and CT imaging features ,the tumor could be diagnosed before surgery ,which could be helpful to make the correct surgical plan .
出处
《重庆医学》
CAS
北大核心
2015年第1期57-59,共3页
Chongqing medicine
关键词
腮腺肿瘤
腺瘤
磁共振成像
parotid neoplasms
adenoma
magnetic resonance imaging
