腮腺良性淋巴上皮病变MRI表现特点及鉴别诊断.docVIP

腮腺腺淋巴瘤的高频彩色多普勒声像图特点与病理学对比研究 　　【摘 要】目的：探讨腮腺腺淋巴瘤的声像图表现与病理组织学的关系。方法：对80例腮腺腺淋巴瘤患者于术前进行超声检查，并研究其病理组织特点。结果：病理组织学以上皮组织为主型26个病灶，声像图表现为肿块体积相对较大，内见不规则暗区，呈囊实混合性回声；以上皮组织和淋巴组织混合型59个病灶，声像图表现为类圆形或椭圆形团块，内可见多条线状回声分隔带，呈蜂窝状；以淋巴样组织为主型27个病灶，声像图表现为团块回声似肿大淋巴结回声。团块内多无点状钙化强回声且血流信号较丰富。结论：彩色多普勒声像图表现及病理组织学特征有助于诊断腮腺腺淋巴瘤。 中国论文网 /8/view-7161391.htm 　　【关键词】腮腺腺淋巴瘤；高频彩色多普勒超声；病理学 　　High-Frequency Color Duppler Ultrasound Features in Parotid Gland Adenolymphoma Comparison with Histopathology 　　GAO Zhuan-zhuan HE Jing LIU Ying JIANG Feng ZHANG Liang-xi 　　（Department of Ultrasound， the First Affiliated Hospital of Wannan Medical University， Wuhu Anhui 241001， China） 　　【Abstract】Objective The aim of the study was to define ultrasonograph features of parotid gland adenolymphoma and to explore the relationship between ultrasonograph and histopathology. Method Ultrasonography was perfomed in 80 patients with parotid gland adenolymphoma and histopathology was analysed.Result The major content was epithelial tissue in 26 cases and ultrasonographic features show the masses of relatively large volum and mixed echo，within irregular dark areas.The major content was mixed type of epithelial tissue and lymphatic tissue in 59 cases and ultrasonographic features were the interal echo of the tumor were extremely low with either net-like or grate-like structures.The major content was lymphatic tissue in 27 cases and the ultrasonographic features were swollen lymph nodes. There is no strong calcification of the echo and biood fiow signal is richer in the tumor.Conclusion Ultrasonograph feature of parotid gland adenolymphoma and its histopathology are facilited to diagnosed this disease. 　　【Key words】High-Frequency Color Duppler Ultrasound； Parotid gland adenolymphoma； Pathology 　　腮腺腺淋巴瘤是来源于上皮组织和腺淋巴组织的良性肿瘤，是口腔外科常见的一种疾病。大多数人是因为在颈部或腮腺区摸到包块，或者颈部明显肿大影响到日常生活及个人美观，来医院就诊。近年来，高频彩色多普勒超声检查已广泛运用于其检查，成为腮腺良恶性肿瘤诊断及鉴别诊断的首选影像学检查[1]。一旦确诊，临床多采用手术切除。本研究回顾性分析80例腮腺腺淋巴瘤共112个病灶的病理及声像图资料，探讨其声像图表现及病理学特征。 　　1 资料与方法 　　1.1 研究对象 　　80例均为我院2