腮腺造影螺旋CT对腮腺疾病的诊断价值探讨

doi:10.19438/j.cjoms.2023.02.010

中国口腔颌面外科杂志 ›› 2023, Vol. 21 ›› Issue (2): 158-162.doi: 10.19438/j.cjoms.2023.02.010

腮腺造影螺旋CT对腮腺疾病的诊断价值探讨

高安天¹, 梁易², 林梓桐¹

1.南京大学医学院附属口腔医院,南京市口腔医院口腔颌面医学影像科, 2.口腔颌面外科,江苏南京 210008

收稿日期:2022-09-20 修回日期:2022-10-12 出版日期:2023-03-20 发布日期:2023-06-12
通讯作者: 林梓桐,E-mail: linzitong710@163.com
作者简介:高安天（1995-）,男,硕士,E-mail: gaoantian_1995@163.com
基金资助:
南京市卫生科技发展项目（YKK19090）; 南京市口腔疾病临床医学研究中心资助项目（2019060009）

Using computerized tomography sialography in the diagnosis of parotid diseases

GAO An-tian¹, LIANG Yi², LIN Zi-tong¹

1. Department of Oral and Dentomaxillofacial Radiology, 2. Department of Oral and Maxillofacial Surgery, Nanjing Stomatological Hospital, Medical School of Nanjing University. Nanjing 210008, Jiangsu Province, China

Received:2022-09-20 Revised:2022-10-12 Online:2023-03-20 Published:2023-06-12

摘要/Abstract

摘要： 目的： 探讨腮腺造影螺旋CT操作要点及对腮腺疾病的诊断价值。方法： 收集腮腺炎性疾病、舍格伦综合征、腮腺瘘、腮腺区肿瘤患者34例。在腮腺导管内注入复方泛影葡胺注射液后,立即进行螺旋CT扫描。由1名影像科医师对腮腺造影螺旋CT扫描图像进行分类诊断,对腮腺区肿瘤及瘤样病变进行良、恶性鉴别,以随访结果或术后病理结果为对照,计算诊断准确率,并总结并分析上述4类腮腺疾病造影螺旋CT的影像学特点。结果： 34例患者的4类疾病诊断准确率为88.24%;对于腮腺区肿瘤及瘤样病变,良、恶性病变诊断准确率为84.62%。结论： 腮腺造影螺旋CT可作为慢性阻塞性腮腺炎、腮腺瘘、舍格伦综合征、腮腺肿瘤及瘤样病变检查、诊断的有效方法。

关键词: 腮腺造影, 螺旋CT, 腮腺疾病, 诊断

Abstract: PURPOSE: To investigate the key points of technique of computerized tomography sialography (CT-sialography) and its diagnostic value in parotid gland diseases. METHODS: A total of 34 patients with chronic parotitis, Sjogren's syndrome, parotid fistula and parotid tumors and tumor-like lesions were collected. All patients were scanned with spiral CT immediately after iodine contrast injection into the primary parotid duct, followed by image post-processing and disease diagnosis. The diagnostic accuracy was calculated according to the follow-up results and postoperative pathological results. The imaging characteristics of parotid gland diseases were summarized and analyzed. RESULTS: The overall diagnostic accuracy rate was 82.35%. The diagnostic accuracy rate of benign and malignant parotid tumors and tumor-like lesions was 88.24%. CONCLUSIONS: CT-sialography is an effective method for diagnosis of obstructive parotitis, parotid fistula, Sjogren's syndrome and tumor and tumor-like lesions in parotid gland.

Key words: Sialography, Spiral CT, Parotid disease, Diagnosis

中图分类号:

R781.7

高安天, 梁易, 林梓桐. 腮腺造影螺旋CT对腮腺疾病的诊断价值探讨[J]. 中国口腔颌面外科杂志, 2023, 21(2): 158-162.

GAO An-tian, LIANG Yi, LIN Zi-tong. Using computerized tomography sialography in the diagnosis of parotid diseases[J]. China J Oral Maxillofac Surg, 2023, 21(2): 158-162.

参考文献

[1] Jadu FM, Lam EW.A comparative study of the diagnostic capabilities of 2D plain radiograph and 3D cone beam CT sialography[J]. Dentomaxillofac Radiol, 2013, 42(1): 20110319.
[2] Abdalla-Aslan R, Keshet N, Zadik Y, et al.Standardization of terminology, imaging features, and interpretation of CBCT sialography of major salivary glands: a clinical review[J]. Quintessence Int, 2021, 52(8): 728-740.
[3] Lloyd RE, Ho KH.Combined CT scanning and sialography in the management of parotid tumors[J]. Oral Surg Oral Med Oral Pathol, 1988, 65(2): 142-144.
[4] Natasha S.Congenital parotid fistula[J]. J Indian Soc Pedod Prev Dent, 2014, 32(4): 357-361.
[5] 税荣昭, 白金铭. 涎腺造影术的发展及其现状[J]. 国外医学(临床放射学分册),1984,7(3): 132-135.
Shui RZ, Bai JM.Development and current status of salivary gland imaging[J]. Foreign Medical Sciences (Clinical Radiology), 1984, 7(3): 132-135.
[6] 王松灵, 王蒋怡. 慢性复发性腮腺炎的诊断和治疗进展[J]. 口腔疾病防治, 2016, 24(11): 621-626.
Wang SL, Wang JY.Progress in diagnosis and treatment of chronic recurrent parotitis[J]. Journal of Prevention and Treatment for Stomatological Diseases, 2016, 24(11): 621-626.
[7] 奚广伟, 刘影. 腮腺造影螺旋CT检查在腮腺肿物诊断中的应用[J]. 实用口腔医学杂志, 2012, 28(4): 521-524.
Xi GW, Liu Y.Application of spiral CT and sialogram in the diagnosis of parotid tumor[J]. Journal of Practical Stomatology, 2012, 28(4): 521-524.
[8] 张祖燕, 王虎. 口腔颌面医学影像诊断学[M]. 第7版. 北京: 人民卫生出版社. 2020: 148-157.
Zhang ZY, Wang H.Oral and maxillofacial medical imaging diagnostics[M]. 7th Ed. Beijing: People's Medical Publishing House, 2020: 148-157.
[9] 丁长伟, 刘东武, 薛红霞, 等. 干燥综合征的腮腺CT表现[J]. 中国临床医学影像杂志, 2015, 26(5): 317-320.
Ding CW, Liu DW, Xue HX, et al.CT findings of parotid gland in Sjogren's syndrome[J]. Journal of China Clinic Medical Imaging, 2015, 26(5): 317-320.
[10] Sun Z, Zhang Z, Fu K, et al.Diagnostic accuracy of parotid CT for identifying Sjogren's syndrome[J]. Eur J Radiol, 2012, 81(10): 2702-2709.
[11] 俞光岩,马大权. 唾液腺病学[M]. 第2版. 北京: 人民卫生出版社, 2014: 408.
Yu GY, Ma DQ.Salivary gland disease[M]. 2nd Ed. Beijing: People's Medical Publishing House, 2014: 408.
[12] 陶谦, 黄韵. 腮腺慢性阻塞性疾病的再认识[J]. 口腔疾病防治, 2021, 29(9): 577-583.
Tao Q, Huang Y.Re-cognition of chronic obstructive diseases of the parotid gland[J]. Journal of Prevention and Treatment for Stomatological Diseases, 2021, 29(9): 577-583.
[13] 孙旭, 李向军, 张旭东, 等. 腮腺造影锥形束CT检查在慢性腮腺炎诊断中的应用[J]. 实用口腔医学杂志, 2017, 33(6): 778-782.
Sun X, Li XJ, Zhang XD, et al.Clinical application of cone beam CT sialography in the diagnosis of chronic parotitis[J]. Journal of Practical Stomatology, 2017, 33(6): 778-782.
[14] Cheng PC, Chang CM, Huang CC, et al.The diagnostic performance of ultrasonography and computerized tomography in differentiating superficial from deep lobe parotid tumours[J]. Clin Otolaryngol, 2019, 44(3): 286-292.
[15] Conn IG, Wiesenfeld D, Ferguson MM.The anatomy of the facial nerve in relation to CT/sialography of the parotid gland[J]. Br J Radiol, 1983, 56(672): 901-905.
[16] Imaizumi A, Kuribayashi A, Okochi K, et al.Differentiation between superficial and deep lobe parotid tumors by magnetic resonance imaging: usefulness of the parotid duct criterion[J]. Acta Radiol, 2009, 50(7): 806-811.
[17] 俞光岩, 邹兆菊. 腮腺造影对肿瘤的诊断价值[J]. 中华口腔医学杂志, 1989, 24(1): 40-42.
Yu GY, Zou ZJ.The value of parotid gland angiography in the diagnosis of tumor[J]. Chinese Journal of Stomatology, 1989, 24(1): 40-42.

腮腺造影螺旋CT对腮腺疾病的诊断价值探讨

Using computerized tomography sialography in the diagnosis of parotid diseases

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