摘要
目的:研究干燥综合征(Sjogren’ssyndrome,SS)的腮腺造影表现。资料与方法:笔者随机抽调了我院56例疑为SS患者的腮腺造影资料,采用盲法阅片,之后与临床资料对照,36例被诊断为SS,正常7例作为对照组,13例不能确诊排除在研究范围之外。结果:末梢导管呈点状、球状扩张及腔洞样扩张。主导管可无异常改变,病变主导管表现为走行僵硬,管腔多种形式的扩张。分支导管扩张,走行僵硬。病变腮腺于后前位观察表现为平坦、萎缩,部分腺体内可见充盈缺损。30例排空像中无一例完全排空。结论:无论同一人还是在同一腺体内,末梢导管病变程度不都一致。笔者提出了正常与异常主导管的诊断标准。分支导管改变的观察结果与末梢导管扩张的广泛程度有关。腺体病变及排空时间的诊断缺乏客观量化。
Objective To study the appearances of parotid sialography in Sjogren's syndromeSS. Materials and Methods We collected the material of parotid sialography in 56 cases suspected to be SS. Films were evaluated without knowing the clinical materials and then finally correlated with patient's history and symptoms. Thirty six cases were diagnosed as SS 7 cases were normal 13 cases could not be diagnosed and were ruled out. Results There were 3 different configurations of sialectasia that was punctate globular and cavitary. The main parotid trunk may be normal but when abnormal the trunk was stiff and with various type of ectasis. The branches of the parotid trunk were dilated stiffened. The partoid gland appeared flattened atrophic and filling defect was seen in some part of the gland. Emptying time was delayed in 30 cases who had expelling of the contrast material which was not completely expelled. Conclusions In the same patient or in the same gland the degree of sialectasia was inconsistent. The diagnostic criteria for normal and abnormal parotid main duct were established. The changes of the parotid branches were related to how extensive the degree of ectasis of the terminal ductules. The changes of the gland and emptying time were insufficient to be set as diagnostic criteria due to the lack of objective quantitative standard.
出处
《中国临床医学影像杂志》
CAS
北大核心
2005年第3期128-131,共4页
Journal of China Clinic Medical Imaging
基金
河北省科技攻关计划项目
课题编号:042761199
