摘要
目的 探讨流行性腮腺炎的声像图及彩色多普勒血流表现特征。方法 应用高频超声对临床诊断的 32例流行性腮腺炎患者的腺体进行探进 ,观察其形态、大小、回声及周边淋巴结、组织的改变情况 ,并与 30例同期正常同龄人进行对照。结果 受侵腺体均有不同程度的弥漫性肿大 ,内部回声呈非均匀性减低 ,可见低回声结节 ,腺体实质内血流显示丰富 ,呈“火海征”样改变 ;对照组未见上述声像图及血流改变 ;同时对单纯颈淋巴结肿大及仅颌下腺肿大者 ,提出了诊断和鉴别要点。结论 流行性腮腺炎的声像图表现具有特征性 ,高频超声对本病的诊断。
Objective To investigate the color Doppler ultrasonographic features and imaging of blood flow in epidemic parotiditis. Methods Thirty two patients with epidemic parotiditis were examined with color Doppler ultrasonography and their parotid glands and lymph nodes were compared with those of the 30 normal people of the same age (as control).Results The diseased glands had diffusible swelling and nodes with irregular low reflection. Rich blood flows in the form of “flame” were found on ultrasonography. Such changes were not present in the control group, in which the people with enlarged neek lymph nodes alone and those with swelling sumbaxillary glands alone had clinical signs different from those of the patients, which provided a basis for the differential diagnosis. Conclusion Ultrasonography is effective to diagnose epidemic parotiditis and provides enough information for the treatment.
出处
《西部医学》
2003年第1期59-60,共2页
Medical Journal of West China
