腮腺造影螺旋CT对腮腺疾病的诊断价值探讨  

Using computerized tomography sialography in the diagnosis of parotid diseases

作　　者：高安天 梁易 林梓桐[1] GAO An-tian;LIANG Yi;LIN Zi-tong(Department of Oral and Dentomaxillofacial Radiology,Medical School of Nanjing University,Nanjing 210008,Jiangsu Province,China;Department of Oral and Maxllofacial Surger Nanjing Stomatological Hospital,Medical School of Nanjing University,Nanjing 210008,Jiangsu Province,China)

机构地区：[1]南京大学医学院附属口腔医院,南京市口腔医院口腔颌面医学影像科,江苏南京210008 [2]南京大学医学院附属口腔医院,南京市口腔医院口腔颌面外科,江苏南京210008

出　　处：《中国口腔颌面外科杂志》2023年第2期158-162,共5页China Journal of Oral and Maxillofacial Surgery

基　　金：南京市卫生科技发展项目(YKK19090);南京市口腔疾病临床医学研究中心资助项目(2019060009)。

摘　　要：目的:探讨腮腺造影螺旋CT操作要点及对腮腺疾病的诊断价值。方法:收集腮腺炎性疾病、舍格伦综合征、腮腺瘘、腮腺区肿瘤患者34例。在腮腺导管内注入复方泛影葡胺注射液后,立即进行螺旋CT扫描。由1名影像科医师对腮腺造影螺旋CT扫描图像进行分类诊断,对腮腺区肿瘤及瘤样病变进行良、恶性鉴别,以随访结果或术后病理结果为对照,计算诊断准确率,并总结并分析上述4类腮腺疾病造影螺旋CT的影像学特点。结果:34例患者的4类疾病诊断准确率为88.24%;对于腮腺区肿瘤及瘤样病变,良、恶性病变诊断准确率为84.62%。结论:腮腺造影螺旋CT可作为慢性阻塞性腮腺炎、腮腺瘘、舍格伦综合征、腮腺肿瘤及瘤样病变检查、诊断的有效方法。PURPOSE:To investigate the key points of technique of computerized tomography sialography(CT-sialography)and its diagnostic value in parotid gland diseases.METHODS:A total of 34 patients with chronic parotitis,Sjogren's syndrome,parotid fistula and parotid tumors and tumor-like lesions were collected.All patients were scanned with spiral CT immediately after iodine contrast injection into the primary parotid duct,fllowed by image post-processing and disease diagnosis.The diagnostic accuracy was calculated according to the follow-up results and postoperative pathological results.The imaging characteristics of parotid gland diseases were summarized and analyzed.RESULTS:The overall diagnostic accuracy rate was 82.35%.The diagnostic accuracy rate of benign and malignant parotid tumors and tumor-like lesions was 88.24%.CONCLUSIONS:CT-sialography is an effective method for diagnosis of obstructive parotitis,parotid fistula,Sjogren's syndrome and tumor and tumor-like lesions in parotid gland.

关 键 词：腮腺造影 螺旋CT 腮腺疾病 诊断 

分 类 号：R781.7[医药卫生—口腔医学]