腮腺造影螺旋CT对腮腺疾病的诊断价值探讨

doi:10.19438/j.cjoms.2023.02.010

中国口腔颌面外科杂志 ›› 2023, Vol. 21 ›› Issue (2): 158-162.doi: 10.19438/j.cjoms.2023.02.010

腮腺造影螺旋CT对腮腺疾病的诊断价值探讨

高安天¹, 梁易², 林梓桐¹

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, 2.口腔颌面外科,江苏南京 210008

收稿日期:2022-09-20 修回日期:2022-10-12 出版日期:2023-03-20 发布日期:2023-06-12
通讯作者: 林梓桐,E-mail: linzitong710@163.com
作者简介:高安天（1995-）,男,硕士,E-mail: gaoantian_1995@163.com
基金资助:
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）

Using computerized tomography sialography in the diagnosis of parotid diseases

GAO An-tian¹, LIANG Yi², LIN Zi-tong¹

1. Department of Oral and Dentomaxillofacial Radiology, 2. Department of Oral and Maxillofacial Surgery, Nanjing Stomatological Hospital, Medical School of Nanjing University. Nanjing 210008, Jiangsu Province, China

Received:2022-09-20 Revised:2022-10-12 Online:2023-03-20 Published:2023-06-12

摘要/Abstract

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。

关键词: 腮腺造影, 螺旋CT, 腮腺疾病, 诊断

Abstract: 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, followed 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.

Key words: Sialography, Spiral CT, Parotid disease, Diagnosis

中图分类号:

R781.7

高安天, 梁易, 林梓桐. 腮腺造影螺旋CT对腮腺疾病的诊断价值探讨[J]. 中国口腔颌面外科杂志, 2023, 21(2): 158-162.

GAO An-tian, LIANG Yi, LIN Zi-tong. Using computerized tomography sialography in the diagnosis of parotid diseases[J]. China J Oral Maxillofac Surg, 2023, 21(2): 158-162.

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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

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