中国实用口腔科杂志

中国实用口腔科杂志

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增强CT诊断腮腺多原发性肿瘤的价值研究

高润涛，苏莎   

  1. 首都医科大学附属北京友谊医院口腔科，北京  100050
  • 出版日期:2017-03-15 发布日期:2017-04-11
  • 基金资助:

    国家自然科学基金（81271164）

  • Online:2017-03-15 Published:2017-04-11

摘要：

目的    探讨腮腺多原发性肿瘤（multiple primary tumors，MPT）的临床特点、病理类型及影像学表现，分析增强CT诊断腮腺MPT的价值。方法    对2013—2016年在首都医科大学附属北京友谊医院口腔科行腮腺肿瘤手术治疗的285例患者中的22例MPT患者的临床病历资料、影像学资料及病理报告进行回顾性分析。结果    在22例腮腺MPT中，沃辛瘤17例，占77.3%（17/22）。腮腺MPT增强CT检查的检出率为83.3%，高于B超检查的检出率（52.6%）。单侧多发的腮腺肿物，增强CT检查的检出率为B超的2倍。结论    沃辛瘤是最常见的腮腺MPT，完善增强CT检查有助于术前发现腮腺MPT，从而帮助确定手术方案。

关键词: 腮腺多原发肿瘤, 沃辛瘤, 增强CT

Abstract:

Objective    To evaluate clinical characteristics，pathology and imaging manifestation of multiple primary tumors （MPT） in parotid gland，and to analyze the value of enhanced CT in the deagnosis of parotid MPT. Methods            Retrospectively analyze the medical histories of 22 patients with MPT among 285 patients with parotid gland tumors from 2013 to 2016. Results    Seventeen cases were Warthin′s tumor，accounting for 77.3% of MPT in parotid gland. The detection rate of CT was 83.3%，higher than B-ultrasonography. For unilateral MPT in parotid gland，the detection rate of CT was 2 times of B-ultrasonography. Conclusion    Warthin′s tumor is the most common type of MPT in parotid gland. Enhanced CT examination may help find MPT in parotid gland before the surgery，which helps to make surgery plan.

Key words: multiple primary tumors in parotid gland；Warthin&prime, s tumor；enhanced CT