超声在慢性硬化性涎腺炎诊断中的应用  

Ultrasonography in Diagnosing Kuttner Tumor

作　　者：张杰[1] 尹彦玲[1] 王胰[1] 徐东波[1] 

机构地区：[1]天津医科大学总医院超声中心,天津市300052

出　　处：《中国超声医学杂志》2010年第10期887-889,共3页Chinese Journal of Ultrasound in Medicine

摘　　要：目的探讨慢性硬化性涎腺炎(CSS)的超声影像学表现特点及其诊断价值。方法回顾性分析17例经病理证实为CSS的二维及彩色多普勒超声图像特征。结果多数病例典型超声表现与弥漫性"肝硬化"类似,单侧腺体弥漫性受累,回声强弱不均匀,伴多发低回声结节。彩色多普勒显示腺体内血流信号增多,血管无侵犯、受压。结论 Kuttner瘤在二维及彩色多普勒超声声像图上有一定的特征,结合患者临床资料,能够提高此病的诊断水平。Objective To investigate the ultrasonographic patterns of Kuttner tumor （chronic sclerosing sialadenitis,CSS） and it＇s diagnostic values. Methods Two-dimensional ultrasonographies and color Doppler flow imagings of CSS confirmed pathologically in 17 patients were retrospectively analyzed. Results The majority of the patients with diffuse involvement showed ultrasonographic appearances simulating a cirrhotic liver with diffuse heterogeneous echo pattern and multiple hypoechoic nodules. Color Doppler flow imaging showed prominent intraglandular vessels without mass effect or displacement. Conclusions Two-dimensional ultrasonographies and color Doppler flow ima-gings of CSS show some characteristics. Sonographic features combined with clinical information may improve diagnostic accuracy.

关 键 词：彩色多普勒 Kuttner瘤 慢性硬化性涎腺炎 颌下腺 超声检查 

分 类 号：R445.1[医药卫生—影像医学与核医学] R781.72[医药卫生—诊断学]