摘要
目的探讨高频彩色多普勒超声对腮腺良恶性肿瘤的鉴别诊断价值。方法回顾性分析经手术病理确诊的85例腮腺肿瘤患者的高频彩色多普勒超声检查结果,分析其声像图特点。结果本组患者腮腺腺淋巴瘤最多,占腮腺肿瘤的41.2%(35/85),诊断符合率82.9%。良性肿瘤占64.7%(55/85),诊断符合率76.4%;恶性肿瘤占35.3%(30/85),诊断符合率26.7%,其中低度恶性19例(18例多形性腺瘤,1例基底细胞腺瘤)。结论腮腺腺淋巴瘤高频彩色多普勒超声诊断效率高,部分低度恶性腮腺肿瘤缺乏典型的恶性声像特征,超声无法准确判断良恶性质,综合临床信息可提高诊断效率。
Objective To evaluate the value of high-frequency color Doppler ultrasound in the differential diag-nosis of benign and malignant parotid tumor. Methods The ultrasonic features of high-frequency color Doppler ul-trasound of 85 cases of parotid tumors confirmed by pathology diagnosis were analyzed retrospectively. Results Of all the patients,35 cases were the parotid gland lymphomas,accounting for 41. 2%（35 / 85）and the diagnosis rate was 82. 9% . Fifty-five cases were benign tumors,accounting for 64. 7% （55 / 85）and the diagnosis rate was 76. 4% . Thirty cases were malignant tumors,accounting for 35. 3%（30 / 85）and the diagnosis rate was 26. 7% ,19 cases were low grade（18 cases of pleomorphic adenoma,1 case of basal cell adenoma）. Conclusion High-fre-quency color Doppler ultrasound is highly effective for parotid gland lymphoma,some of the low-grade malignant pa-rotid gland tumors lack the typical malignant ultrasonic features,ultrasound can not accurately determine benign and malignant nature,and the comprehensive clinical information can improve the diagnosis rate.
出处
《肿瘤基础与临床》
2014年第2期140-141,共2页
journal of basic and clinical oncology
关键词
腮腺肿瘤
高频彩色多普勒超声
诊断
parotid tumor
high-frequency color Doppler ultrasound
diagnosis
