超声半定量特征评分对腮腺多形性腺瘤和沃辛瘤的鉴别诊断价值  

Value of semi-quantitative ultrasound scoring in differential diagnosis of pleomorphic adenoma and Warthin tumor

作　　者：左晓林 陈成生 胡伟 ZUO Xiao-lin;CHEN Cheng-sheng;HU Wei(Department of Ultrasound Medicine,Mindong Hospital of Ningde City,Ningde 355000,China)

机构地区：[1]宁德市闽东医院超声医学科,福建宁德355000

出　　处：《广东医科大学学报》2023年第3期291-293,共3页Journal of Guangdong Medical University

基　　金：宁德市卫健委医技提升科研资助项目(2018009)。

摘　　要：目的探讨腮腺多形性腺瘤(PA)和沃辛瘤(WT)应用超声半定量特征评分的鉴别诊断价值。方法分析68例均行接受超声检查腮腺良性肿瘤患者临床资料,以术后病理诊断结果作为金标准,分析超声半定量特征评分对PA和WT诊断效能;比较PA与WT超声半定量特征评分并绘制其鉴别价值的受试者工作特征(ROC)曲线得到曲线下面积(AUC)。结果超声半定量特征评分对PA和WT诊断灵敏度分别为90.9%、94.3%,特异度为97.1%、97.0%,准确度为94.1%、95.6%,阳性预测值为96.8%、97.1%,阴性预测值为91.9%、94.1%。两组超声各半定量特征评分差异有统计学意义(P<0.05),其中腺体血流对PA于WT的AUC最高为0.706。结论PA与WT超声半定量特征差异显著,超声半定量特征评分可用于鉴别诊断两种疾病。Objective To investigate the value of semi-quantitative ultrasound scoring in differential diagnosis of pleomorphic adenoma(PA)and Warthin tumor(WT).Methods The clinical data of 68 patients with benign parotid gland tumors who have received ultrasonic examination were retrospectively analyzed.With the postoperative pathological results taken as the golden standard,the performance of semi-quantitative ultrasound scoring in the differential diagnosis of PA and WT was analyzed.The semi-quantitative ultrasound scores of PA and WT were compared,and the receiver operating characteristic(ROC)curve of its differential diagnostic value was plotted and the area under curve(AUC)was obtained.Results The sensitivity of semi-quantitative ultrasound scoring in the diagnosis of PA and WT was 90.9%and 94.3%,respectively,the specificity was 97.1%and 97.0%,the accuracy was 94.1%and 95.6%,respectively,the positive predictive value was 96.8%and 97.1%,respectively,and the negative predictive value was 91.9%and 94.1%,respectively.There was significant difference in semi-quantitative ultrasound scoring between PA and WT(P<0.05).The AUC of glandular blood flow to PA and WT was 0.706 at the highest.Conclusion The semi-quantitative ultrasound score of PA is statistically different from that of WT,so semiquantitative ultrasound scoring can be used for differential diagnosis of the two diseases.

关 键 词：腮腺多形性腺瘤 沃辛瘤 超声 半定量特征评分 鉴别诊断 

分 类 号：R445.1[医药卫生—影像医学与核医学]