皖南医学院学报
皖南醫學院學報
환남의학원학보
ACTA ACADEMIAE MEDICINAE WANNAN
2015年
1期
70-72
,共3页
吴晓倩%李国杰%朱向明%江峰
吳曉倩%李國傑%硃嚮明%江峰
오효천%리국걸%주향명%강봉
腮腺Warthin瘤%超声%彩色多普勒血流显像%图像特征分析
腮腺Warthin瘤%超聲%綵色多普勒血流顯像%圖像特徵分析
시선Warthin류%초성%채색다보륵혈류현상%도상특정분석
parotid Warthin tumor%ultrasound%color Doppler flow imaging%feature analysis
目的：探讨腮腺Warthin瘤的彩色多普勒超声特征，以提高超声对腮腺肿瘤的诊断，为临床诊治提供参考。方法：回顾性分析经病理证实的24例患者31个腮腺Warthin瘤的彩色多普勒超声图像，对病灶位置、形态、大小、边界、内部回声、血流分布等特征进行分析。结果：31个病灶中①病灶多位于腮腺浅叶或下极；②形态为圆形或椭圆形，占80．65％（25／31）；③大小多在2．0～3．5 cm之间，占90．32％（28／31）；④边界清晰，占100％（31／31）；⑤病灶内部回声低回声、多呈囊实性、或夹有网格状回声，占74．19％（23／31）；⑥内部有不同程度血流信号存在，占77．42％（24／31）；⑦本组半数患者伴颈部淋巴结肿大。术前彩色多普勒超声诊断符合率为58．06％（18／31）。结论：彩色多普勒超声对术前腮腺Warthin瘤的诊断具有一定的临床价值，但规范化分析腮腺病灶图像，掌握Warthin瘤的声像图特征，对腮腺Warthin瘤检出的准确性可以得到进一步提高。
目的：探討腮腺Warthin瘤的綵色多普勒超聲特徵，以提高超聲對腮腺腫瘤的診斷，為臨床診治提供參攷。方法：迴顧性分析經病理證實的24例患者31箇腮腺Warthin瘤的綵色多普勒超聲圖像，對病竈位置、形態、大小、邊界、內部迴聲、血流分佈等特徵進行分析。結果：31箇病竈中①病竈多位于腮腺淺葉或下極；②形態為圓形或橢圓形，佔80．65％（25／31）；③大小多在2．0～3．5 cm之間，佔90．32％（28／31）；④邊界清晰，佔100％（31／31）；⑤病竈內部迴聲低迴聲、多呈囊實性、或夾有網格狀迴聲，佔74．19％（23／31）；⑥內部有不同程度血流信號存在，佔77．42％（24／31）；⑦本組半數患者伴頸部淋巴結腫大。術前綵色多普勒超聲診斷符閤率為58．06％（18／31）。結論：綵色多普勒超聲對術前腮腺Warthin瘤的診斷具有一定的臨床價值，但規範化分析腮腺病竈圖像，掌握Warthin瘤的聲像圖特徵，對腮腺Warthin瘤檢齣的準確性可以得到進一步提高。
목적：탐토시선Warthin류적채색다보륵초성특정，이제고초성대시선종류적진단，위림상진치제공삼고。방법：회고성분석경병리증실적24례환자31개시선Warthin류적채색다보륵초성도상，대병조위치、형태、대소、변계、내부회성、혈류분포등특정진행분석。결과：31개병조중①병조다위우시선천협혹하겁；②형태위원형혹타원형，점80．65％（25／31）；③대소다재2．0～3．5 cm지간，점90．32％（28／31）；④변계청석，점100％（31／31）；⑤병조내부회성저회성、다정낭실성、혹협유망격상회성，점74．19％（23／31）；⑥내부유불동정도혈류신호존재，점77．42％（24／31）；⑦본조반수환자반경부림파결종대。술전채색다보륵초성진단부합솔위58．06％（18／31）。결론：채색다보륵초성대술전시선Warthin류적진단구유일정적림상개치，단규범화분석시선병조도상，장악Warthin류적성상도특정，대시선Warthin류검출적준학성가이득도진일보제고。
Objective:To examine the color Doppler flow imaging( CDFI) properties of Warthin′s tumor of parotid gland for improving the diagnostic accu-racy in this entity.Methods:The color Doppler flow imaging manifestations were retrospectively examined in 24 of 31 cases confirmed pathologically as Warthin′s tumor of parotid gland regarding the lesion location,tumor size and morphology,boundary,internal echo and blood flow features.Results:Totally, 31 lesions were detected in the 24 cases.①The lesions were generally located at the superficial lobe or lower point of the parotid;②The lesions exhibited round or oval shape(80.65%;25/31);③ The tumor size ranged from 2.0 to 3.5 cm in diameter(90.32%;28/31);④The boundary was clearly defined in the total cases(100%;31/31);⑤ The internal echo was very low,and presented with cystic-solid or mesh-like echoes(74.19%;23/31);⑥Vascular flow was occasionally displayed on CDFI(77.42%;24/31);⑦50% of patients showed cervical lymph node enlargement,and 58.06% were consistent with the postoperative confirmation.Conclusion:Preoperative CDFI can be valuable in diagnosis of Warthin′s tumor of parotid gland.Nevertheless,careful examination of the characteristic images of the tumor may improve the diagnostic accuracy of this disease .
