《Journal of Oral and Maxillofacial Surgery》 ›› 2016, Vol. 26 ›› Issue (3): 190-194. doi: 10.3969/j.issn.1005-4979.2016.03.008

• Clinical Study • Previous Articles     Next Articles

Comparative Analysis of CT and Ultrasonics in the Diagnosis of Warthin Tumor in Parotid Gland

WANG Yao-qing, GU Li-jun, DAI Yu-ping, XU Chang-qing, HAN Ben-yi   

  1. Department of Radiology, Shanghai Shidong Hospital, Shanghai 200438, China
  • Received:2015-06-15 Revised:2016-03-13 Online:2016-06-28 Published:2016-08-08

CT与B超在腮腺Warthin瘤诊断中应用的比较

王垚青,顾立军,戴宇萍,徐长青,韩本谊   

  1. 上海杨浦区市东医院医学影像科,上海   200438
  • 通讯作者: 王垚青,主治医师. E-mail:fibrous12@sina.com
  • 作者简介:王垚青(1982—),女,上海人,主治医师,硕士.E-mail: fibrous12@sina.com

Abstract: Objective: To analyze the diagnostic value of parotid gland Warthin tumor comparing CT versus ultrasonic(US) images.  Methods: The CT and US appearance in 34 cases of Warthin tumor in parotid gland were analyzed retrospectively. All the imageology findings were contrasted with pathological results. Result: CT sensitivity was 73.5%, and US sensitivity was 38.2%. In the detection of tumor morphology, cystic like cleft and surrounding blood vessels, CT and US showed statistical difference (P<0.05). In the detection of tumor density/echo and boundary, no difference were calculated. Conclusion: Both US and CT could be used as examination tool for Warthin tumor in parotid gland. CT examination is superior to US in displaying details of Wartin tumor.

Key words:  parotid neoplasm, tomography, histopathology, doppler ultrasonography

摘要: 目的:分析腮腺Warthin瘤的CT与超声(ultrasound,US)图像的影像学特征,探讨两种检查结果对腮腺Warthin瘤的诊断价值。方法:回顾性分析经过病理证实的34例腮腺Warthin瘤CT和超声的影像特点,对病变部位、形态、大小、数目以及CT动脉期、静脉期病灶强化表现进行分析。结果:将CT和US诊断结果与病理结果进行对比,CT检查对腮腺Warthin瘤定性的敏感度为73.5%, US敏感度为38.2%。CT与US检查比较,在显示病灶形态、裂隙样囊变以及边缘小血管显示方面,两者差异有显著性统计学意义(P>0.05),在显示病灶密度/回声均匀及病灶边界方面,两者差异无统计学意义(P<0.05)。结论:超声检查及CT均可作为筛选腮腺Warthin瘤的检查方法,CT检查对于腮腺Warthin瘤的影像学细节显示优于US检查。

关键词:  , 腮腺肿瘤,  ,  , 体层摄影术,  ,  , 病理组织学,  ,  , 彩色多普勒超声检查

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