锥形束CT腮腺造影技术对腮腺非肿瘤性疾病的诊断价值

摘要/Abstract

摘要： 目的：评价锥形束CT（CBCT）腮腺造影技术在腮腺非肿瘤性疾病中的影像学诊断价值。方法：对50例腮腺区反复肿胀的患者行常规检查后,再行CBCT腮腺造影检查并进行腮腺导管三维重建。结果：50例患者中,30例诊断为慢性阻塞性腮腺炎,12例诊断为慢性复发性腮腺炎,8例诊断为舍格伦综合征。所有患者的CBCT腮腺造影均清楚显示腺体主导管的长短、粗细以及有无充盈缺损。对于慢性复发性腮腺炎以及舍格伦综合征患者,可以很清楚地显示3~4级分支导管的形态。结论：CBCT腮腺造影可用于诊断腮腺非肿瘤性疾病,多角度了解腺体和导管的病变。 [Abstract] PURPOSE: The aim of this study was to assess cone-beam CT (CBCT) sialography in the radiodiagnosis of non-neoplastic diseases of the parotid gland. METHODS: For patients with recurrent swelling of the parotid gland, CBCT and three-dimensional reconstruction of the parotid duct were performed after routine examination. RESULTS: Of 50 patients, 30 were diagnosed as chronic obstructive parotitis, 12 were diagnosed as chronic recurrent parotitis and 8 were diagnosed as Sj?觟gren's syndrome. In these patients, CBCT sialography could clearly show the length, width, and filling defect of the parotid gland. For patients with chronic recurrent parotitis and Sj?觟gren's syndrome, CBCT sialography can display the tertiary to quaternary branches of the parotid gland clearly. CONCLUSIONS: CBCT sialography can be used in the diagnosis of non-neoplastic diseases of the parotid gland, and CBCT sialography can provide multidimensional images of the lesion of the gland and duct.

关键词: 锥形束CT, 腮腺造影技术, 腮腺非肿瘤性疾病

Abstract: PURPOSE: The aim of this study was to assess cone-beam CT (CBCT) sialography in the radiodiagnosis of non-neoplastic diseases of the parotid gland. METHODS: For patients with recurrent swelling of the parotid gland, CBCT and three-dimensional reconstruction of the parotid duct were performed after routine examination. RESULTS: Of 50 patients, 30 were diagnosed as chronic obstructive parotitis, 12 were diagnosed as chronic recurrent parotitis and 8 were diagnosed as Sj?觟gren's syndrome. In these patients, CBCT sialography could clearly show the length, width, and filling defect of the parotid gland. For patients with chronic recurrent parotitis and Sj?觟gren's syndrome, CBCT sialography can display the tertiary to quaternary branches of the parotid gland clearly. CONCLUSIONS: CBCT sialography can be used in the diagnosis of non-neoplastic diseases of the parotid gland, and CBCT sialography can provide multidimensional images of the lesion of the gland and duct.

Key words: Cone beam CT, Sialography, Parotid gland, Non-neoplastic diseases

中图分类号:

R781.7

杜世文, 俞创奇. 锥形束CT腮腺造影技术对腮腺非肿瘤性疾病的诊断价值[J]. 中国口腔颌面外科杂志, 2017, 15(4): 345-348.

DU Shi-wen, YU Chuang-qi. The diagnostic value of cone-beam CT sialography for non-neoplastic diseases of the parotid gland[J]. China J Oral Maxillofac Surg, 2017, 15(4): 345-348.

参考文献

[1] Jadu FM, Hill ML, Yaffe MJ, et al. Optimization of exposure parameters for cone beam computed tomography sialography [J]. Dentomaxillofac Radiol, 2011, 40(6): 362-368.
[2] Searfe WC, Fanman AG, Sukovie P. Clinical applications of cone-beam computed tomography in dental practice [J]．J Can Dent Assoc, 2006, 72(1): 75-80.
[3] Burke CJ, Thomas RH, Howlett D. Imaging the major salivary glands [J]. Br J Oral Maxillofac Surg, 2011, 49(4): 261-269.
[4] Jadu F, Yaffe MJ, Lam EW. A comparative study of the effective radiation doses from cone beam computed tomography and plain radiography for sialography [J]. Dentomaxillofac Radiol, 2010, 39(5): 257-263.
[5] Benson B. Salivary gland radiology[C]// White SC, Pharoah MJ. Oral Radiology: Priciples and Interpretation[M]. 6th Ed. St. Louis, MO: Mosby; 2009: 578-598.
[6] Ludlow JB, Ivanovic M. Comparative dosimetry of dental CBCT devices and 64-slice CT for oral and maxillofacial radiology [J]. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 2008, 106(1): 106-114.
[7] Drage NA, Brown JE. Cone beam computed sialography of sialoliths [J]. Dentomaxillofac Radiol, 2009, 38(5): 301-305.
[8] Onkar PM, Ratnaparkhi C, Mitra K. High-frequency ultrasound in parotid gland disease [J]. Ultrasound Q, 2013, 29(4): 313-321.
[9] Varoquaux A, Larribe M, Chossegros C, et al. Cone beam 3D sialography: preliminary study [J]. Rev Stomatol Chir Maxillofac, 2011, 112(5): 293-299.
[10] Jadu FM, Lam EW. A comparative study of the diagnostic capabilitiesof 2D plain radiograph and 3D cone beam CT sialography [J]. Dentomaxillofac Radiol, 2013, 42(1): 20110319.
[11] Jadu FM. Development and application of a technique for three-dimensional sialography using cone beam computed tomography[M]. Toronto: University of Toronto, 2012.
[12] Kroll T, May A, Wittekindt C, et al. Cone beam computed tomography (CBCT) sialography-an adjunct to salivary gland ultrasonography in the evaluation of recurrent salivary gland swelling[J]. Oral Surg Oral Med Oral Pathol Oral Radiol,2015, 120(6): 771-775.
[13] Abdel-Wahed N, Amer ME, Abo-Taleb NS. Assessment of the role of cone beam computed sialography in diagnosing salivary gland lesions [J]. Imaging Sci Dent, 2013, 43(1):17-23.

[1]	王博, 于洪波, 夏韫晖, 房兵, 郭秋曼. 牙槽骨再生正畸技术治疗成人错畸形伴原发性牙槽骨缺损的远期疗效评价[J]. 中国口腔颌面外科杂志, 2022, 20(3): 225-229.
[2]	范永晶, 金武龙, 王淑敏, 王姝. 234颗多生牙临床特征及继发影响分析[J]. 中国口腔颌面外科杂志, 2022, 20(3): 257-262.
[3]	陈建荣, 丁水清, 陈亮, 何佳嘉, 祁荣兴. 颞下颌关节紊乱的影像学特征：锥形束CT和MRI效能比较[J]. 中国口腔颌面外科杂志, 2022, 20(3): 273-276.
[4]	盖云, 蒋芝月, 刘曙, 郑之峻. 青春期错畸形患者髁突位置与性别、颅面骨骼形态的相关性分析[J]. 中国口腔颌面外科杂志, 2022, 20(1): 42-47.
[5]	买买提·吐地, 哈尼克孜·莫明, 麦合布拜木·吐儿逊. 下颌颊棚区微螺钉解剖学植入区域位点锥形束CT测量分析[J]. 中国口腔颌面外科杂志, 2020, 18(1): 38-41.
[6]	沈宇清, 刘文娟, 孙健, 余优成, 周倩蓉, 徐艺. 不同分割阈值重建锥形束CT数字化牙模型的精度研究[J]. 中国口腔颌面外科杂志, 2019, 17(3): 221-224.
[7]	李敬华, 姜文静, 王艳辉, 李晓静, 柏娜. 下颌前牙唇侧骨壁厚度及倾斜角度对即刻种植术前设计的影响[J]. 中国口腔颌面外科杂志, 2019, 17(3): 230-234.
[8]	高维青, 陈毅, 王晶波, 樊林峰, 赵怀萍, 陶晓峰, 奚岩, 朱凌. 能谱锥形束CT减少口腔金属伪影的效果评价[J]. 中国口腔颌面外科杂志, 2018, 16(6): 523-527.
[9]	张楚南, 倪杰, 莫嘉骥, 乔士冲, 王蓓, 顾迎新. 美学区种植同期应用异种骨行引导骨再生术后愈合期间唇侧骨改建的临床研究[J]. 中国口腔颌面外科杂志, 2018, 16(1): 29-33.
[10]	张馨匀, 李婵, 李洪发. 成人颞下颌关节骨关节病骨性改变与Helkimo指数的关系[J]. 中国口腔颌面外科杂志, 2018, 16(1): 64-68.
[11]	胡兆妮, 曲卫国, 李阳, 裘罡, 王吉, 岳柏. 骨性Ⅲ类错▉畸形患者双颌手术后软、硬组织的变化[J]. 中国口腔颌面外科杂志, 2017, 15(6): 524-528.
[12]	张楚南，莫嘉骥，乔士冲，倪杰，王蓓，顾迎新. 前牙美学区引导骨再生同期种植愈合期间边缘骨吸收的前瞻性研究[J]. 中国口腔颌面外科杂志, 2017, 15(5): 416-421.
[13]	曲哲, 胡艳君, 马岚, 张翔, 韩文利, 李振春. 下颌骨颏孔前区解剖结构的锥形束CT研究[J]. 中国口腔颌面外科杂志, 2017, 15(1): 11-15.
[14]	曲哲, 胡艳君, 马岚, 张翔, 韩文利, 李振春. 下颌骨颏孔前区解剖结构的锥形束CT研究[J]. 中国口腔颌面外科杂志, 2017, 15(1): 36-40.
[15]	郭鹏女, 郭华艳, 钟华星, 黄兰, 陈卫东, 张迎娣, 黄远亮. 个别正常▌成人上前牙美学区唇、腭侧骨板厚度测量分析[J]. 中国口腔颌面外科杂志, 2016, 14(4): 337-343.