颌面部木村病的超声表现  

Ultrasound Manifestations of Kimura’s Disease in Maxillofacial Region

作　　者：赵琴 马步云[1] 贾浥苹[2] 罗伟东[2] 龚健[2] 宋萍[2] 王占文[2] ZHAO Qin;MA Buyun;JIA Yiping;LUO Weidong;GONG Jian;SONG Ping;WANG Zhanwen(Department of Ultrasound Medicine,West China Hospital,Sichuan University,Chengdu 610041,China)

机构地区：[1]四川大学华西医院超声医学科,四川成都610041 [2]四川大学华西第四医院超声医学科,四川成都610041

出　　处：《中国医学影像学杂志》2022年第2期134-138,共5页Chinese Journal of Medical Imaging

摘　　要：目的探讨颌面部木村病的超声表现及临床特点,提高对本病的认识和诊断水平。资料与方法回顾性分析2009年1月—2020年6月四川大学华西医院及华西第四医院经手术及病理证实的13例颌面部木村病,术前均行超声检查,分析患者发病年龄、性别、病史、质地及活动度、实验室检查等,观察发病部位、大小、回声改变、内部血流及其周围淋巴结情况等超声表现。结果13例患者中,男12例,女1例;年龄12~66岁;单侧12例,双侧1例;平均病程(5.2±4.5)年;质硬、活动度差5例,质软、活动度可8例;13例外周血嗜酸性粒细胞比例及绝对值均明显增高。10例病灶位于腮腺内,其中1例同时累及同侧颌下腺,3例分别位于颌下腺、颊部及耳后,大小2.0 cm×1.5 cm~7.0 cm×4.5 cm。10例边界不清或欠清楚,3例边界清楚,11例形态不规则或欠规则,2例形态规则。彩色多普勒血流12例为1~2级,1例为3级;12例伴有同侧多发淋巴结肿大,肿大淋巴结整体呈反应性增生表现。结论颌面部木村病常表现为涎腺或皮下软组织内强-弱相间的低回声肿块,同时伴有周围淋巴结肿大,结合无痛性肿块表现及外周血嗜酸性粒细胞增高,应考虑本病的可能。Purpose To investigate the ultrasound manifestations and clinical features of Kimura’s disease in the maxillofacial region,and to improve the understanding and diagnosis of the disease.Materials and Methods The complete clinical data of 13 cases of maxillofacial Kimura’s disease confirmed by surgery and pathology from January 2009 to June 2020 in West China Hospital and West China Fourth Hospital of Sichuan University were retrospectively analyzed,and the clinical characteristics such as onset age,sex,medical history,texture and activity and laboratory examination were analyzed.As well as the location,size,change of echo,internal blood flow and surrounding lymph nodes,ultrasonic features.Results The 13 patients in this group including 12 males and 1 female,aged from 12 to 66 years,12 unilateral cases and 1 bilateral case,with average duration of(5.2±4.5)years.5 cases were hard and poor in activity,and 8 cases were soft and fair in activity.The proportion and absolute value of eosinophils in peripheral blood examination were significantly increased in all cases.Among them,10 cases were located in parotid gland,one of which involved ipsilateral submandibular gland simultaneously,and the remaining 3 cases were located in submandibular gland,buccal gland and retroauricular gland respectively,with size of 2.0 cm×1.5 cm-7.0 cm×4.5 cm.Among them,10 cases had no or less clear boundary,3 cases had clear boundary,11 cases had no or less regular morphology,and 2 cases had regular morphology.Color Doppler flow was grade 1-2 in 12 cases and grade 3 in 1 case.Twelve of the 13 cases were accompanied by ipsilateral multiple lymph node enlargement,and the enlarged lymph nodes presented overall reactive hyperplasia.Conclusion Kimura’s disease in maxillofacial region is often characterized by strong-weak hypoechoic mass in salivary gland or subcutaneous soft tissue,accompanied by enlargement of peripheral lymph nodes.Combined with painless mass and increased eosinophils in peripheral blood,the possibility of this disease s

关 键 词：颌面部 木村病 超声检查 病理学 外科 

分 类 号：R445.1[医药卫生—影像医学与核医学] R782[医药卫生—诊断学]