干燥综合征腮腺导管MRS与CT及X线造影对比研究  

Comparative study on magnetic resonance sialography,CT sialography and X-ray sialography in Sjogren's syndrome

作　　者：韦洁勤 张静[1] 陆力坚[1] 李伟雄[1] 

机构地区：[1]广西医科大学第一附属医院放射科,南宁 530021

出　　处：《中国临床新医学》2015年第3期193-197,共5页CHINESE JOURNAL OF NEW CLINICAL MEDICINE

基　　金：广西自然科学基金资助项目(编号:2011GXNSFA018266)

摘　　要：目的对比腮腺导管磁共振水成像（MRS）、CT造影与X线造影在诊断干燥综合征（SS）中的作用和价值。方法收集2011-01～2014-01共301例临床疑诊为SS患者的影像学检查资料,其中行磁共振水成像有65例,行CT造影有130例,行X线造影有106例。将磁共振、CT结果与X线腮腺导管造影结果进行对比研究,评价磁共振腮腺导管水成像诊断干燥综合症的应用价值。结果三种检查方法的敏感度、特异度、Youden指数分别为腮腺导管MRS 95%、80%、0.75,CT造影87.5%、80%、0.675,X线造影72%、90%、0.62。腮腺导管MRS、CT造影及X线造影的ROC曲线下面积分别为0.875、0.837、0.815。结论 SS腮腺导管MRS准确性高于传统X线造影,且为无创性检查,具有较高的临床应用价值。Objective To compare the effect and value between magnetic resonance sialography（ MRS）,CT siaglography and X-ray sialography in the diagnosis of Sjgren＇ s syndrome. Methods Three hundreds and one suspected Sjgren＇s syndrome,of them 65 cases took MRS,130 cases took CT sialography and 106 took X-ray sialography. And these results were compared. Results These three methods＇ sensitivity,specificity and Youden index were as following： MRS： 95%,80%,0. 75,CT sialography： 87. 5%,80%,0. 675,X-ray sialography： 72%,90%,0. 62 respectively. The area under the ROC curve of MRS,CT sialography and X-ray sialography were 0. 875,0. 837,0. 815 respectively. Conclusion MRS＇s accuracy in the diagnosis of Sjgren＇ s syndrome is higher than the conventional X-ray sialography,and it is noninvasive and has high clinical value.

关 键 词：干燥综合征 腮腺导管 磁共振水成像(MRS) CT腮腺造影 X线腮腺造影 

分 类 号：R593.2[医药卫生—内科学]