MRI联合超声在评估干燥综合征患者腮腺病变征象中的价值  

Value of MRI combined with ultrasound in assessing lesions of the parotid gland in patients with Sjogren's syndrome

作　　者：余敏[1] 张曼曼 谢向良[1] YU Min;ZHANG Man-man;XIE Xiang-liang(Department of Rheumatology and Immunology,Maanshan People's Hospital,Maanshan Anhui 243000,China;Department of Imaging,Maanshan People's Hospital,Maanshan Anhui 243000,China)

机构地区：[1]马鞍山市人民医院风湿免疫科,安徽马鞍山243000 [2]马鞍山市人民医院影像科,安徽马鞍山243000

出　　处：《临床和实验医学杂志》2023年第13期1428-1431,共4页Journal of Clinical and Experimental Medicine

基　　金：安徽省重点研究和开发计划项目(编号:1804h08020284)。

摘　　要：目的 探究磁共振成像(MRI)联合超声对干燥综合征患者腮腺病变征象的评估价值。方法 回顾性纳入2021年7月至2022年11月马鞍山市人民医院收治的60例干燥综合征患者为观察组,选取因口干就诊的非干燥综合征患者60例作为对照组。对两组患者行MRI检查,比较两组间脂肪信号分级及腮腺导管扩张分级,并比较两组患者不同径线大小;对患者行腮腺超声检查,并采用半定量评分法对患者左右侧腮腺进行评价,根据检查结果作受试者工作特征(ROC)曲线,判断各指标诊断干燥综合征患者腮腺病变的价值。结果 观察组患者的脂肪信号分级及腮腺导管扩张分级分别为(1.86±0.45)、(1.35±0.21)级,均明显高于对照组[(1.86±0.45、1.35±0.21)级],差异均有统计学意义(P<0.05)。观察组上下径、前后径及左右径大小分别为(42.31±7.31)、(29.12±7.64)、(24.31±4.78) mm,均小于对照组[(48.98±5.21)、(38.87±5.03)、(29.06±2.68) mm],差异有统计学意义(P<0.05)。腮腺超声评分结果显示,观察组患者左、右侧平均评分分别为(2.14±0.99)、(2.17±0.93)分,均高于对照组[(1.19±0.60)、(1.19±0.70)分],差异均有统计学意义(P<0.05)。作MRI、腮腺超声分别及两者联合应用评估干燥综合征腮腺病变的ROC曲线,脂肪信号分级、不同径线大小、双侧超声评分的AUC值分别为0.704、0.775、0.765、0.845、0.831、0.785、0.792,MRI及腮腺超声联合应用的AUC值为1.000,高于各指标单独应用的诊断价值。结论 MRI和超声均可对干燥综合征患者的腮腺病变进行评估,二者联合使用具有较高的诊断价值。Objective To explore the value of magnetic resonance imaging(MRI)combined with ultrasound in the evaluation of parotid pathological signs in patients with Sjogren's syndrome.Methods Sixty patients with Sjogren's syndrome admitted to Maanshan People's Hospital from July 2021 to November 2022 were selected as the observation group,and 60 patients with non Sjogren's syndrome who were treated for xerostomia were randomly selected as the control group.MRI was performed on the two groups of patients,and fat signal grading and parotid duct expansion grading between the two groups were compared,and different diameters of the two groups of patients were compared;The patients were examined by parotid ultrasonography,and the left and right parotid glands of the patients were evaluated by semi quantitative scoring method.According to the results of the examination,receiver operating characteristic(ROC)curves were made to determine the diagnostic value of each index in the diagnosis of parotid lesions in patients with Sjogren's syndrome.Results The fat signal grade and parotid duct expansion grade of the patients in the observation group were(1.86±0.45),(1.35±0.21)level,respectively,which were significantly higher than those in the control group[(1.86±0.45,1.35±0.21)level],and the differences were statistically significant(P<0.05).The upper and lower diameters,front and rear diameters and left and right diameters in the observation group were(42.31±7.31),(29.12±7.64),(24.31±4.78)mm,respectively,which were significantly smaller than those in the control group[(48.98±5.21),(38.87±5.03),(29.06±2.68)mm],and the differences were statistically significant(P<0.05).The results of parotid gland ultrasound scoring showed that the average scores on the left and right sides of the observation group were(2.14±0.99)and(2.17±0.93)pionts,respectively,which were higher than those of the control group[(1.19±0.60)and(1.19±0.70)pionts],and the differences were statistically significant(P<0.05).ROC curve of parotid lesions evaluated

关 键 词：磁共振成像 超声 干燥综合征 腮腺病变 诊断价值 

分 类 号：R593.2[医药卫生—内科学]