腮腺腺淋巴瘤的超声诊断研究  

Study on Ultrasonic Diagnosis of Adenolymphoma in the Parotid Gland

作　　者：杨静[1] 燕山[1] 徐秋华[1] 

机构地区：[1]上海第二医科大学附属第九人民医院,上海市200011

出　　处：《中国超声医学杂志》2001年第11期819-821,共3页Chinese Journal of Ultrasound in Medicine

摘　　要：目的 :探讨超声诊断腮腺腺淋巴瘤的依据 ,旨在不断提高其诊断符合率。方法 :回顾性分析经手术及病理证实的 36例腮腺腺淋巴瘤的二维声像图及彩色多普勒血流显像特点。从肿瘤的大小、个数、质地和内部回声等指标做综合分析。结果 :超声诊断为腺淋巴瘤 17例 ,混合瘤 15例 ,淋巴结炎 2例 ,混合性占位、性质待定 2例。超声诊断符合病理学为 47% ,超声诊断良性肿瘤符合率为 94%。腺淋巴瘤声像图特点与混合瘤有一定的相似性。结论 :典型的腺淋巴瘤有其声像图特点 ,非典型的腺淋巴瘤类似于混合瘤。作者认为超声诊断腺淋巴瘤有一定的临床价值 ,要做到病理学诊断有一定难度 。Objective:To promote the diagnostic comforming rate of adenolymphoma in parotid gland through the research on the evidence for ultrasonic diagnosis of the disease.Methods:Through retrospective analysis of ultrasound imaging characteristics under 2D and CDFI,36 patients were proved by operation and pathological method.They have been synthetically analyzed through volume,number,hardness and internal echoes of the tumor.Results:There were 17 cases with adenolymphoma,15 cases with pleomorphic adenoma,2 cases with lymph adenitis and 2 cases with pleomorphic mass of unkown origin.Forty seven percent of the cases under ultrasonic diagnosis were comfirmed by pathologic findings.In benign tumors,the comforming rate was 94%.The sonographic characteristics of adenolymphoma had some similar points to those of pleomorphic adenoma.Conclusions:The typical adenolymphoma has its sonographic characteristics,while the atypical one has something similar features as those of pleomorphic tumor.We think that ultrasonic features of adenolymphoma have some clinical values for doctors to diagnoze and treat,but it is difficult to totally coincide with pathological diagnosis.

关 键 词：腮腺腺淋巴瘤 超声诊断 彩色多普勒血流显像 

分 类 号：R730.41[医药卫生—肿瘤]