腮腺腺淋巴瘤和多形性腺瘤的超声鉴别诊断研究
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摘要
目的:探究腮腺腺淋巴瘤和多形性腺瘤的超声鉴别诊断。方法:回顾性分析笔者所在医院收治的330例腮腺良性肿瘤患者临床资料,均接受彩色多普勒超声诊断系统检查;以粗针穿刺活检(CNB)或术后病理学检查结果为依据分析超声检查结果的鉴别准确率;比较腮腺腺淋巴瘤患者及多形性腺瘤患者肿瘤形态、内部结构回声、钙化、主要血管分布、血流情况、液性暗区等超声影像特征差异。结果:330例腮腺良性肿瘤患者经CNB或术后病理学检查确诊为腺淋巴瘤者68例(20.6%),确诊为多形性腺瘤者262例(79.4%)。超声鉴别诊断腮腺腺淋巴瘤及多形性腺瘤的准确率为79.1%(261/330)。与多形性腺瘤患者比较,腺淋巴瘤患者多见类椭圆状外形、内部结构回声不均匀、无钙化、主要血管分布于核心、血流信号丰富、存在液性暗区等超声影像特征,差异均有统计学意义(x~2=25.732、46.703、9.516、41.645、55.116、42.702,P<0.05)。结论:腮腺腺淋巴瘤和多形性腺瘤在超声表现中具有较大差异,鉴别诊断准确率较高。
Objective:To explore the ultrasonic differential diagnosis of adenolymphoma in parotid gland and pleomorphic adenoma.Method:The clinical data of 330 patients with benign tumor in parotid were analyzed retrospectively,and all the patients were given systematic examination with color Doppler ultrasound.The coarse needle biopsy(CNB) or postoperative pathological results were taken as the basis for identification accuracy of ultrasonic examination,and the characteristic differences of ultrasonic images in tumor morphology,internal structure,calcification,vascular distribution,blood flow and liquid dark area between parotid gland adenolymphoma patients and pleomorphic adenoma patients were compared.Result:After CNB or postoperative pathological examination,68 cases(20.6%) were diagnosed as adenolymphoma,and 262 cases(79.4%) were diagnosed as pleomorphic adenoma.The accuracy of ultrasonography in the diagnosis of parotid gland adenolymphoma and pleomorphic adenoma was 79.1%(261/330).Compared with the patients with pleomorphic adenoma,the patients with adenoma were characterized by elliptical shapes,uneven internal structure,none calcification,vascular distribution in core,abundant blood flow signals,and fluid dark areas,the differences were statistically significant( x~2=25.732,46.703,9.516,41.645,55.116,42.702,P<0.05).Conclusion:Parotid gland adenolymphoma and pleomorphic adenoma have great differences in ultrasonography,and the accuracy of differential diagnosis by ultrasound is high.
Objective:To explore the ultrasonic differential diagnosis of adenolymphoma in parotid gland and pleomorphic adenoma.Method:The clinical data of 330 patients with benign tumor in parotid were analyzed retrospectively,and all the patients were given systematic examination with color Doppler ultrasound.The coarse needle biopsy(CNB) or postoperative pathological results were taken as the basis for identification accuracy of ultrasonic examination,and the characteristic differences of ultrasonic images in tumor morphology,internal structure,calcification,vascular distribution,blood flow and liquid dark area between parotid gland adenolymphoma patients and pleomorphic adenoma patients were compared.Result:After CNB or postoperative pathological examination,68 cases(20.6%) were diagnosed as adenolymphoma,and 262 cases(79.4%) were diagnosed as pleomorphic adenoma.The accuracy of ultrasonography in the diagnosis of parotid gland adenolymphoma and pleomorphic adenoma was 79.1%(261/330).Compared with the patients with pleomorphic adenoma,the patients with adenoma were characterized by elliptical shapes,uneven internal structure,none calcification,vascular distribution in core,abundant blood flow signals,and fluid dark areas,the differences were statistically significant( x~2=25.732,46.703,9.516,41.645,55.116,42.702,P<0.05).Conclusion:Parotid gland adenolymphoma and pleomorphic adenoma have great differences in ultrasonography,and the accuracy of differential diagnosis by ultrasound is high.
引文
[1]李秀昆,张秀利,时佳宏,等.超声引导下细针与粗针穿刺在腮腺肿瘤诊断中的对比研究[J].中国实验诊断学,2016,20(7):1079-1080.
[2]刘复生,刘彤华.肿瘤病理学[M].北京:北京医科大学,中国协和医科大学联合出版社,1997:68-71.
[3]贾译清.临床超声鉴别诊断学[M].第2版.南京:江苏科学技术出版社,2007:33-35.
[4]孙龙,陆丹尔.二维及彩色多普勒超声诊断腮腺肿瘤的临床价值[J].医学影像学杂志,2013,23(10):1660-1662.
[5]谢萍.回声强度定量分析在腮腺腺淋巴瘤与混合瘤鉴别诊断中的价值[J].江苏医药,2012,38(13):1563-1565.
[6]粟荔,费伟.腮腺良性肿瘤超声造影定性诊断及术式改良的研究进展[J].实用医院临床杂志,2014,11(3):21-24.
[7]朱少,陈剑,赵齐羽,等.腮腺多形性腺瘤与Warthin氏瘤的超声图像对比分析[J].中国超声医学杂志,2013,29(9):848-850.
[8]舒丽,尹彦玲,周贵明.腮腺多形性腺瘤和腺淋巴瘤的超声鉴别诊断价值[J].中国慢性病预防与控制,2013,21(2):204-206.
[9]胡冬梅,何雨,郑娟娟,等.腮腺腺淋巴瘤的超声表现分析[J].临床超声医学杂志,2016,18(11):787-788.
[10]丛颖,侯兴华,杨芳,等.腮腺腺淋巴瘤的超声表现特征[J].中国临床医学影像杂志,2014,25(11):814-816.
[11]杨薇,伍海翔.腮腺腺淋巴瘤与多形性腺瘤的超声诊断及病因分析[J].成都医学院学报,2012,7(1):110-112.
[12]黄冠兰,徐秋华,燕山.腮腺多形性腺瘤与腺淋巴瘤的超声鉴别研究[J].中华超声影像学杂志,2013,22(4):366-367.
[2]刘复生,刘彤华.肿瘤病理学[M].北京:北京医科大学,中国协和医科大学联合出版社,1997:68-71.
[3]贾译清.临床超声鉴别诊断学[M].第2版.南京:江苏科学技术出版社,2007:33-35.
[4]孙龙,陆丹尔.二维及彩色多普勒超声诊断腮腺肿瘤的临床价值[J].医学影像学杂志,2013,23(10):1660-1662.
[5]谢萍.回声强度定量分析在腮腺腺淋巴瘤与混合瘤鉴别诊断中的价值[J].江苏医药,2012,38(13):1563-1565.
[6]粟荔,费伟.腮腺良性肿瘤超声造影定性诊断及术式改良的研究进展[J].实用医院临床杂志,2014,11(3):21-24.
[7]朱少,陈剑,赵齐羽,等.腮腺多形性腺瘤与Warthin氏瘤的超声图像对比分析[J].中国超声医学杂志,2013,29(9):848-850.
[8]舒丽,尹彦玲,周贵明.腮腺多形性腺瘤和腺淋巴瘤的超声鉴别诊断价值[J].中国慢性病预防与控制,2013,21(2):204-206.
[9]胡冬梅,何雨,郑娟娟,等.腮腺腺淋巴瘤的超声表现分析[J].临床超声医学杂志,2016,18(11):787-788.
[10]丛颖,侯兴华,杨芳,等.腮腺腺淋巴瘤的超声表现特征[J].中国临床医学影像杂志,2014,25(11):814-816.
[11]杨薇,伍海翔.腮腺腺淋巴瘤与多形性腺瘤的超声诊断及病因分析[J].成都医学院学报,2012,7(1):110-112.
[12]黄冠兰,徐秋华,燕山.腮腺多形性腺瘤与腺淋巴瘤的超声鉴别研究[J].中华超声影像学杂志,2013,22(4):366-367.