中国癌症防治杂志
中國癌癥防治雜誌
중국암증방치잡지
CHINESE JOURNAL OF ONCOLOGY PREVENTION AND TREATMENT
2013年
3期
250-252,253
,共4页
腮腺肿块%高频彩超%彩色多普勒血流显像%诊断
腮腺腫塊%高頻綵超%綵色多普勒血流顯像%診斷
시선종괴%고빈채초%채색다보륵혈류현상%진단
Parotid masses%High-frequency color Doppler ultrasound%Color Doppler flow imaging%Diagnosis
目的：评价高频彩超检查对腮腺肿块的诊断及鉴别诊断的价值。方法应用高频彩超对58例腮腺肿块的患者进行检查，并结合病理检查结果分析、总结腮腺肿块的超声图像特征。结果高频彩超检查对腮腺肿块的总检出率为100%，对腮腺良、恶性肿块的诊断符合率分别为87.2%、68.4%，其中腮腺囊肿诊断符合率为100%。二维超声检查中腮腺良、恶性肿块在形态、边界、边缘和内部回声方面的差异均有统计学意义（P<0.05）。彩色多普勒血流显像对腮腺良、恶性肿块血流信号的检出率分别为82.1%、94.7%。以收缩期峰值流速≥23.8 cm/s作为诊断腮腺恶性肿块阈值的标准，脉冲多普勒诊断的敏感度和特异度分别为73.7%和71.8%；以阻力指数≥0.68（除混合瘤外）作为诊断腮腺恶性肿块阈值的标准，其诊断敏感度和特异度分别为73.3%和85.0%。结论高频彩超检查对腮腺肿块的检出率及诊断符合率均较高，对腮腺肿块的定性诊断有重要的临床应用价值。
目的：評價高頻綵超檢查對腮腺腫塊的診斷及鑒彆診斷的價值。方法應用高頻綵超對58例腮腺腫塊的患者進行檢查，併結閤病理檢查結果分析、總結腮腺腫塊的超聲圖像特徵。結果高頻綵超檢查對腮腺腫塊的總檢齣率為100%，對腮腺良、噁性腫塊的診斷符閤率分彆為87.2%、68.4%，其中腮腺囊腫診斷符閤率為100%。二維超聲檢查中腮腺良、噁性腫塊在形態、邊界、邊緣和內部迴聲方麵的差異均有統計學意義（P<0.05）。綵色多普勒血流顯像對腮腺良、噁性腫塊血流信號的檢齣率分彆為82.1%、94.7%。以收縮期峰值流速≥23.8 cm/s作為診斷腮腺噁性腫塊閾值的標準，脈遲多普勒診斷的敏感度和特異度分彆為73.7%和71.8%；以阻力指數≥0.68（除混閤瘤外）作為診斷腮腺噁性腫塊閾值的標準，其診斷敏感度和特異度分彆為73.3%和85.0%。結論高頻綵超檢查對腮腺腫塊的檢齣率及診斷符閤率均較高，對腮腺腫塊的定性診斷有重要的臨床應用價值。
목적：평개고빈채초검사대시선종괴적진단급감별진단적개치。방법응용고빈채초대58례시선종괴적환자진행검사，병결합병리검사결과분석、총결시선종괴적초성도상특정。결과고빈채초검사대시선종괴적총검출솔위100%，대시선량、악성종괴적진단부합솔분별위87.2%、68.4%，기중시선낭종진단부합솔위100%。이유초성검사중시선량、악성종괴재형태、변계、변연화내부회성방면적차이균유통계학의의（P<0.05）。채색다보륵혈류현상대시선량、악성종괴혈류신호적검출솔분별위82.1%、94.7%。이수축기봉치류속≥23.8 cm/s작위진단시선악성종괴역치적표준，맥충다보륵진단적민감도화특이도분별위73.7%화71.8%；이조력지수≥0.68（제혼합류외）작위진단시선악성종괴역치적표준，기진단민감도화특이도분별위73.3%화85.0%。결론고빈채초검사대시선종괴적검출솔급진단부합솔균교고，대시선종괴적정성진단유중요적림상응용개치。
Objective To assess the diagnostic value of high-frequency color Doppler ultrasound (HCDU)for detecting parotid masses. Methods A total of 58 patients with parotid masses were analyzed by pathology and by HCDU,and the diagnostic performance of the two methods was compared. Results HCDU detected 100% of masses. Diagnostic coincidence rates were 87.2% for benign masses,68.4% for malignant masses and 100% for cysts. Two-dimensional ultrasound detected significant differences between benign and malignant parotid masses in shape,boundary,edge and internal echo(P<0.05).Color Doppler flow imaging(CDFI)detected blood flow signals in 82.1%of benign and 94.7%of malignant masses.HDCU showed a sensitivity of 73.7%and a specificity of 71.8%based on a peak systolic velocity≥23.8 cm/s as indicative of a malignant mass;the corresponding values were 73.3% and 85.0% based on a resistance index≥0.68 as indicative of a malignant mass(including mixed tumors). Conclusion HCDU showed high rates of detection and diagnostic coincidence for parotid masses,and it proved helpful for assessing the characteristics of parotid tumors.
