动态对比增强MRI在腮腺肿瘤中诊断应用评价.docVIP

动态对比增强MRI在腮腺肿瘤中诊断应用评价 　　[摘要] 目的 研究动态对比增强MRI对腮腺肿瘤的诊断价值。 方法 选择2011年7月～2012年12月瑞安市人民医院和内蒙古医科大学附属医院腮腺肿瘤患者60例为研究对象，其中良性肿瘤29例（良性组），恶性肿瘤31例（恶性组），所有患者均进行MRI动态对比增强检查并经病理证实。统计并分析两组病灶形态学特征、时间信号曲线类型，诊断符合率。 结论 动态对比增强MRI诊断腮腺肿瘤的特异度、敏感度和准确度较高，对肿瘤良恶性鉴别具有较好的价值，值得临床予以推广。 　　[关键词] 动态增强MRI；腮腺肿瘤；时间信号曲线；诊断价值 　　[中图分类号] R739.87 [文献标识码] A [文章编号] 1673-7210（2014）04（b）-0077-05 　　[Abstract] Objective To research the diagnostic value of dynamic contrast-enhanced MRI to parotid tumor. Methods 60 patients with parotid gland tumor from July 2011 to December 2012 in the Peoples Hospital of Ruian City and Affiliated Hospital of Inner Mongolia Medical University were selected as study objects， of which 29 cases with benign tumors （benign group）， 31 cases of malignant tumors （malignant group）， all the patients were confirmed by pathology and examined by MIR dynamic contrast enhancement. The lesions morphological features and time-in tensity curve type， coincidence rate of diagnosis of two groups were counted and analyzed. Results The MRI of benign group had a high propotion of regular form， clear border， uniform signal， uninvaded tissues， and T2WI high signal Dynamic contrast-enhanced MRI examination with high sensitivity， specificity and accuracy in the diagnosis of parotid tumor， they were 100.0%， 99.6%， 100.0% respectively. Conclusion dynamic contrast-enhanced MRI examination has high specificity， sensitivity and accurancy in the diagnosis of benign and malignant parotid tumor， and has a good value for identifing the tumor whether is benign or malignant， and is worthy of clinical promotion. 　　[Key words] Dynamic enhancement MRI； Parotid tumor； Time-in tensity curve； Diagnostic value 　　腮腺瘤是人体头颈部位比较常见的肿瘤，其病理类型非常复杂，且临床表现特异性极差，因此给临床腮腺瘤的诊断带来了极大的困难，尤其是对于恶性腮腺瘤。临床上对腮腺瘤进行准确的定性诊断，制订相应的治疗方案和对预后情况分析非常关键，同时减少其并发症的发生也异常重要[1-2]。在临床诊断中，CT检查对于肿瘤的定位比较有效，但对于肿瘤的定性，CT检查与MRI检查相差甚远[3]。从以往的文献研究结果来看，动态对比增强MRI获取的腮腺瘤数据比较丰富，因此对于临床的腮腺瘤诊断来说，是比较准确的诊断方法。但是，目前MRI检查的临床诊断标准还未统一，临床研究在数据支持上也存在问题，所以还需在MRI检测资料与病理结果的对比分析上得出比较准确的结论[4]