105例腮腺肿块的临床病理与超声影像的相关性研究  

The correlation study between clinicopathologic and ultrasonographic features in 105 parotid gland masses.

作　　者：全宏志[1] 唐瞻贵[1] 汪伟明[1] 盘丽娟[2] 朱文渊[1] 卢若煌[1] 

机构地区：[1]中南大学湘雅医院.口腔医学院口腔颌面外科,湖南长沙410008 [2]中南大学湘雅医院超声影像科,湖南长沙410008

出　　处：《临床口腔医学杂志》2011年第1期45-47,共3页Journal of Clinical Stomatology

基　　金：国家自然科学基金资助(30872895);湖南省科技厅科技计划重点项目(2008FJ2011)

摘　　要：目的:探讨腮腺肿块临床病理与超声影像之间的关系,为腮腺良恶性肿块的临床鉴别诊断及治疗决策提供参考。方法:对105例经手术、病理证实的腮腺肿块的临床病理资料和超声检查资料进行回顾性研究。结果:105例腮腺肿块中,病理类型良性92例,恶性13例。良恶性肿块在形态、边界、包膜等声像学表现阳性率间具有统计学差异(P<0.05);但在内部回声分布、后方回声增强方面无明显统计学差异(P>0.05)。结论:腮腺肿块的不同临床病理类型与其超声表现有一定的关系,肿块的超声表现可为术前良恶性鉴别诊断及临床治疗决策提供参考。Objective：To investigate the relationship between the clinicopathologic and ultrasonographic features of benign and malignant masses in parotid gland,aiming to provide profit for clinical differential diagnosis and cure strategy.Method：The clinicopathologic datas and sonograms of 105 masses confirmed by histopathologic examination were retrospectively researched.Result：Of all cases,92 were benign and 13 were malignant.Our study indicated that between benign and malignant masses,the difference of the sample rate of shape,border,envelope of benign and malignant masses was statistically significant（P 0.05）,while the difference of their rate of internal echogenicity and posterior enhancement had no statistical difference（P 0.05）.Conclusion：The sonographic features were correlated with their different clinicopathologic,and the sonography could contribute to the clinical differential diagnosis and cure strategy preoperatively.

关 键 词：腮腺 肿块 临床病理 超声 

分 类 号：R780.2[医药卫生—口腔医学] R739.87[医药卫生—临床医学]