^(99m)TC涎腺显像的临床评价(附43例报告)  

Clinical Evaluation of Salivary Gland Imaging with Technetium-99m Pertechnetate 43 Cases

作　　者：黄达明[1] 王心元 刘瑾[1] 顾松筠[1] 杨庆[1] 何广仁[2] 吴锦昌[2] 张玮[2] 

机构地区：[1]苏州医学院附属第一医院口腔科 [2]苏州医学院附属第一医院核医学科

出　　处：《苏州大学学报（医学版）》1989年第2期131-132,171-175,共4页Suzhou University Journal of Medical Science

摘　　要：在本组43例^(99m)Tc 涎腺显像中(25例良性肿瘤,12例恶性肿瘤,5例慢性腮腺炎及1例结核性腮腺淋巴结炎),42例腮腺及1例颁下腺均显示在涎腺显像图中.照相显像均显示了良性或恶性涎腺肿瘤的大小、范围及部位,无假阴性.相比之下,涎腺造影有3例假阴性.本文表明虽然^(99m)Tc 涎腺显像对腮腺Warthin 瘤无特异性,不能鉴别涎腺良、恶性肿瘤,但该检查是一种安全而简单的诊断技术,且比常规涎腺造影敏感.与涎腺造影对照有助于炎症与肿瘸、良性肿瘤与恶性肿瘤的鉴别.Salivary gland imaging in 36 patients with benign or malignant tumor all showed the size,extent and location of tumor in parotid glands.There was no pseudonegative diagnosis in salivary gland imaging,but in sailography there were three cases with pseudo-negative diagnosis.We believe salivary gland imaging with Technetium-99m pertechnetate although is nonspecific for Warthin's tumor of parotid gland,and is also not able to differentiate ma- lignant tumor from benign tumor of salivary gland,but radionuclidc examination is a safe and simple diagnostic technique and proves to have greater sensitivity in demonstrating ab- normalities of salivary gland than that of routine sailography.Contrast salivary gland im- aging with sailography one can differentiate inflammation from tumor and benign from malignant tumor.

关 键 词：涎腺显像 ^99m锝 照相显像 涎腺造影 腺淋巴瘤 

分 类 号：R[医药卫生]