国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2012年
9期
1232-1235
,共4页
张晓辉%彭祖光%李永明%陈环梅%刘伯儒%龙贵珍
張曉輝%彭祖光%李永明%陳環梅%劉伯儒%龍貴珍
장효휘%팽조광%리영명%진배매%류백유%룡귀진
腮腺腺淋巴瘤%唾液腺99mTco4-%核素显像
腮腺腺淋巴瘤%唾液腺99mTco4-%覈素顯像
시선선림파류%타액선99mTco4-%핵소현상
Papillary cystadenoma lymphomatosum%Salivary gland%99mTco4-%Radionuclide imaging
目的 研究腮腺腺淋巴瘤(以下简称腺淋巴瘤)在唾液腺99mTco4-显像中的形态、功能等影像学特点,探讨唾液腺显像诊断腺淋巴瘤的应用价值.方法 选取临床拟诊断腺淋巴瘤患者44例,分别进行唾液腺动静态显像及彩色B超检查,同时与病理结果做对照,评判唾液腺显像对腺淋巴瘤的诊断价值.所得数据用统计学软件SPSS16.0处理,四格表x2检验.结果 术后病理证实腺淋巴瘤32例,多形性腺瘤10例、绒毛状腺瘤1例、腮裂囊肿1例;核素显像发现阳性病例32例(分泌相“热结节”),病灶46个,单发22例,多发10例;12例阴性结果(包括1例“冷结节”,11例“温结节”);灵敏度96.88%( 31/32),特异性91.67%( 11/12),阳性预测值96.88%( 31/32),阴性预测值91.67%( 11/12),准确性95.45%( 42/44).B超检查44例患者中,20例为阳性结果,24例为阴性结果;与病理对照,灵敏度46.88%( 15/32),特异性54.55%( 6/11),阳性预测值75.00%( 15/20),阴性预测值25.00%( 6/24),准确率47.72%( 21/44).两种方法差异有统计学意义(P<0.05).结论 唾液腺显像诊断腺淋巴瘤敏感性及特异性都显著高于彩色B超,诊断符合率好,为术前定性及定位提供良好的诊断价值.
目的 研究腮腺腺淋巴瘤(以下簡稱腺淋巴瘤)在唾液腺99mTco4-顯像中的形態、功能等影像學特點,探討唾液腺顯像診斷腺淋巴瘤的應用價值.方法 選取臨床擬診斷腺淋巴瘤患者44例,分彆進行唾液腺動靜態顯像及綵色B超檢查,同時與病理結果做對照,評判唾液腺顯像對腺淋巴瘤的診斷價值.所得數據用統計學軟件SPSS16.0處理,四格錶x2檢驗.結果 術後病理證實腺淋巴瘤32例,多形性腺瘤10例、絨毛狀腺瘤1例、腮裂囊腫1例;覈素顯像髮現暘性病例32例(分泌相“熱結節”),病竈46箇,單髮22例,多髮10例;12例陰性結果(包括1例“冷結節”,11例“溫結節”);靈敏度96.88%( 31/32),特異性91.67%( 11/12),暘性預測值96.88%( 31/32),陰性預測值91.67%( 11/12),準確性95.45%( 42/44).B超檢查44例患者中,20例為暘性結果,24例為陰性結果;與病理對照,靈敏度46.88%( 15/32),特異性54.55%( 6/11),暘性預測值75.00%( 15/20),陰性預測值25.00%( 6/24),準確率47.72%( 21/44).兩種方法差異有統計學意義(P<0.05).結論 唾液腺顯像診斷腺淋巴瘤敏感性及特異性都顯著高于綵色B超,診斷符閤率好,為術前定性及定位提供良好的診斷價值.
목적 연구시선선림파류(이하간칭선림파류)재타액선99mTco4-현상중적형태、공능등영상학특점,탐토타액선현상진단선림파류적응용개치.방법 선취림상의진단선림파류환자44례,분별진행타액선동정태현상급채색B초검사,동시여병리결과주대조,평판타액선현상대선림파류적진단개치.소득수거용통계학연건SPSS16.0처리,사격표x2검험.결과 술후병리증실선림파류32례,다형성선류10례、융모상선류1례、시렬낭종1례;핵소현상발현양성병례32례(분비상“열결절”),병조46개,단발22례,다발10례;12례음성결과(포괄1례“랭결절”,11례“온결절”);령민도96.88%( 31/32),특이성91.67%( 11/12),양성예측치96.88%( 31/32),음성예측치91.67%( 11/12),준학성95.45%( 42/44).B초검사44례환자중,20례위양성결과,24례위음성결과;여병리대조,령민도46.88%( 15/32),특이성54.55%( 6/11),양성예측치75.00%( 15/20),음성예측치25.00%( 6/24),준학솔47.72%( 21/44).량충방법차이유통계학의의(P<0.05).결론 타액선현상진단선림파류민감성급특이성도현저고우채색B초,진단부합솔호,위술전정성급정위제공량호적진단개치.
Objective To stuty the imaging characteristics of papillary cystadenoma lymphomatosum on technetium-99m ( Tc-99m )pertechnetate scintigraphy and to explore the value of 99mTco4-salivary gland scintigraphy on the diagnosis of papillary cystadenoma lymphomatosum.Methods 44 patients with clinically diagnosed papillary cystadenoma lymphomatosum received dynamic/static salivary gland scintigraphy and Doppler ultrasonography.The detection results were compared with the pathological findings.And the diagnostic value of salivary gland scintigraphy for papillary cystadenoma lymphomatosum was evaluated.The obtained data were analyzed by the statistical software SPSS 16.0 and tested by x2 test.Results Papillary cystadenoma lymphomatosum in 32 patients,pleomorphic adenoma in 10,villous adenoma in one,and branchial cleft cyst in one were confirmed by postoperative pathological examinations.The radionuclide imaging revealed positive findings ( ‘hot nodules' at the secretory phase ) were in 32 patients,lesions in 46,single lesion in 22 and multiple lesions in 10,and negative findings in 12 ( including one case of cold nodule and 11 cases of warm nodules ),with a sensibility of 96.88% ( 31/32 ),a specificity of 91.67% ( 11/12 ),a positive predictive value of 96.88% ( 31/32 ),a negative predictive value of 91.67% ( 11/12 ),and a accuracy of 95.45% ( 42/44 ); Doppler ultrasonography showed 20 patients had positive findings and 24 had negative findings; as compared with pathological examination,the sensitivity,specificity,positive predictive value,negative predictive value and accuracy were 46.88% ( 15/32 ),54.55% ( 6/11 ),75.00% ( 15/20 ),25.00% ( 6/24 ),and 47.72% ( 21/44 ),respectively.Statistical significance was found between the two methods.Conclusions The sensitivity and specificity of salivary gland scintigraphy in the diagnosis of papillary cystadenoma lymphomatosum are remarkably higher than those of Doppler ultrasonography.Scintigraphy has a higher coincident rate of diagnosis and has a better diagnostic value for preoperative localization and differential diagnosis.