發(fā)布時間：2018-02-25 00:16

  本文關鍵詞： 腮腺腫瘤 血管淋巴樣增生 嗜酸粒細胞增多性 體層攝影術 螺旋計算機　出處：《中國醫(yī)學影像學雜志》2017年10期 　論文類型：期刊論文

【摘要】：目的探討結節(jié)、腫塊型腮腺嗜酸性淋巴肉芽腫的臨床及多層螺旋CT(MSCT)特征,以提高對本病的認知。資料與方法回顧性分析2007年6月-2016年3月于重慶市九龍坡區(qū)中醫(yī)院經手術病理證實的6例結節(jié)、腫塊型嗜酸性淋巴肉芽腫患者的臨床及影像學資料,并選取32例同期經手術病理證實的Warthin瘤患者。所有患者均行MSCT平掃+增強掃描,比較兩組患者的臨床及MSCT特征。結果嗜酸性淋巴肉芽腫患者年齡均≤50歲。與Warthin瘤患者比較,嗜酸性淋巴肉芽腫患者外周血嗜酸性粒細胞絕對值及比例和血清IgE水平均增高,差異有統(tǒng)計學意義(P0.01)。與Warthin瘤患者比較,嗜酸性淋巴肉芽腫患者常伴隨同側腮腺腫大、頸深筋膜增厚、邊緣模糊、病灶囊變少及頸部淋巴結腫大。嗜酸性淋巴肉芽腫患者增強掃描呈延遲強化,靜脈期及延遲期強化明顯;Warthin瘤患者動脈期明顯強化,延遲期排空。結論結節(jié)、腫塊型嗜酸性淋巴肉芽腫患者MSCT表現具有炎性病變特征,腫塊密度相對均勻,且呈延遲強化改變。結合臨床及實驗室檢查有助于與Warthin瘤鑒別。
[Abstract]:Objective to investigate the clinical and multilayer spiral CTT features of nodule and mass type eosinophilic lymphogranuloma in parotid gland. Data and methods the clinical and imaging data of 6 patients with nodular and mass eosinophilic granuloma confirmed by surgery and pathology from June 2007 to March 2016 in Jiulongpo District Chinese Medicine Hospital of Chongqing were analyzed retrospectively. 32 patients with Warthin tumor confirmed by operation and pathology in the same period were selected. All the patients underwent plain enhanced MSCT scanning to compare the clinical and MSCT characteristics of the two groups. Results the age of the patients with eosinophilic lymphogranuloma was 鈮，

本文編號：1532286