超声与CT鉴别腮腺良恶性肿瘤的对照研究及应用-影像学与核医学专业论文.docxVIP

摘 要 超声与 CT 鉴别腮腺良恶性肿瘤的对照研究及应用 研究生：张连花 导师：马富成主任医师 摘 要 目的：探讨二维与彩色多普勒超声检查以及CT检查联合应用对腮腺肿瘤的实用 价值，以提高对腮腺肿瘤的术前诊断准确率从而减少误诊。方法：回顾性分析113例 腮腺肿瘤住院患者,分别进行超声及CT检查, 并将超声诊断、CT诊断与病理诊断结果 进行比较分析。根据腮腺肿瘤的临床触诊情况、术前超声成像、CT及综合超声及CT 表现进行联合诊断，作相关统计学分析。结果：超声、CT对113例腮腺肿块定性诊断 与病理诊断的符合率分别为71%（80/113）、67%（76/113）, 两者的差异无统计学意 义（P0.05），两种方法联合使符合率达91%,灵敏度达87%（42/48），而漏诊率降低 至12%（6/48）。结论：超声及CT检查对腮腺肿瘤的诊断均有较高的应用价值, 二者 在腮腺肿块定性诊断的准确性方面无明显差别。超声与CT联合诊断具有显著优势， 但超声对早期腮腺肿瘤诊断具有筛查作用，CT对腮腺肿瘤尤其恶性肿瘤的周围骨组 织的浸润有较高的临床价值。 关键词：腮腺肿瘤；X线计算机；超声；彩色多普勒 —1— 新疆医科大学医学硕士学位论文 Comparison of Diagnosis Benign and Malignant Parotid Gland Tumor with Ultrasonography, Computed Tomography and Combination of Both Modalities Postgraduate:zhang Lianhua Tutor:Ma Fucheng Chief Physician Abstract Objective: To assess the value of the two-dimensional and color Doppler ultrasonography and CT examination of the benign and malignant parotid gland tumor combined with practical value, to raise awareness of the parotid gland tumor accurate preoperative diagnosis so as to reduce the misdiagnosis rate. Methods: 113 cases of parotid gland tumor patients, respectively, for ultrasonography and CT examination, and diagnostic ultrasound, CT diagnosis and pathological diagnosis of the results were comparative analysis. According to clinical palpation of the parotid gland tumor cases, preoperative ultrasound imaging, CT and ultrasonography and CT general combined diagnostic performance were made the relevant statistical analysis of data. Results: Ultrasonography, CT of 113 cases of parotid gland tumor diagnosis and pathological diagnosis consistent with the rates were71%（80/113）and 67%（76/113）, the difference is not significant(P0.05), the two United Ways to makeagreement rate is 91%. Sensitivity is 87% (42/48), and missed diagnosis rate is reduced to 12% (6/48).Conclusion: Ultrasonography and CT examination in the diagnosis of parotid gland tumor have a higher value, both the qualitative diagnosis of parotid masses have no significant difference in accuracy.