摘要： 目的：回顾性分析腮腺多形性腺瘤与Warthin瘤的超声声像图，总结其声像图特征，为两者的鉴别提供参考。方法：回顾经病理确诊的24例腮腺多形性腺瘤及18例Warthin瘤患者的超声检查结果, 分析其声像图表现特征。结果：大多数多形性腺瘤为低回声，回声均匀一致，或呈小分叶状，后方回声增强，周边型血流。而Warthin瘤多呈椭圆形，内部常伴有囊性成分，为内在型血流。结论：腮腺多形性腺瘤与 Warthin 瘤在声像图上有些相似，容易误诊。超声检查在两者的鉴别诊断中有较高的临床价值，可为临床的治疗及手术方案提供鉴别依据。

关键词: 多形性腺瘤, Warthin瘤, 灰阶超声检查, 彩色多普勒超声检查

Abstract: Objective: This paper aimed to make a retrospective analysis on the ultrasonographic features of common benign tumors of parotid gland (pleomorphic adenoma and Warthin's tumor). Methods: In 24 cases of parotid pleomorphic adenoma and 18 cases of Warthin tumor, the ultrasonographic characteristics were reviewed and compared. Results: It was found that most pleomorphic adenomas are hypoechoic, homogeneous and lobulated masses with acoustic enhancement and peripheral vascularization. Warthin's tumors were more likely to be ovals with cystic component and internal vascularization. Conclusion: Parotid pleomorphic adenoma and Warthin tumor share some similarities on sonograms. Ultrasound is highly valuable in the differential diagnosis of those lesions.

Key words: pleomorphic adenoma, warthin’s tumor, gray scale ultrasonography, doppler ultrasonography

中图分类号: 

• R739.87