摘要
目的:研究干燥综合征(SS)患者腮腺造影中导管病变的规律。资料与方法:笔者对我院87例SS患者进行腮腺造影检查,对腮腺导管病变进行分析。结果:各级腮腺导管均可发生病变,以末梢导管病变发生率最高,病变有从末梢导管向主导管发展的倾向。早期病变随着病程的延长而占同期病例数比例变小,中晚期病变则反之。<60岁和≥60岁两组SS患者的腮腺造影表现经统计学处理无显著性差异。结论:SS患者腮腺导管病变可以分为腮腺导管形态正常期、末梢导管病变早期、末梢导管病变晚期、分支导管及主导管病变期、腺体萎缩早期及腺体萎缩晚期等6期。SS患者腮腺导管病变存在广义的一致性和狭义的不一致性。腮腺的增龄性改变在腮腺造影用于诊断SS时可以忽略。
Objective： To study the trend of pathological changes of the parotid duct in Sjogren＇s syndrome（SS） examined by parotid sialography. Materials and Methods： Parotid sialography was performed in 87 patients with SS. The abnormal changes of parotid duct were analysed. Results： Lesion can occur in any grade of the branches of the parotid duct, the incidence of abnormal changes was highest in the terminal ductules. The lesion has a tendency to develop from the terminal ducrules to the main ducts. The early-stage pathological changes became small in proportion as the diseased prolonged, and vice verse in the mid-stage and late-stage of the disease. There were no difference in the appearance of parotid sialography in the 〈60 and the ≥160 age group. Conclusions： The pathological changes of the parotid duct in SS could be divided into 6 stages, ie, normal appearance of parotid duct, early stage of pathological changes of terminal ductules, late stage of pathologi- cal changes of terminal ductules, pathological changes of parotid trunk and branches of parotid duct, earLy-stage of gland atrophy, late-stage of gland atrophy. The pathological changes of the parotid duct with SS has coherence in broad sense and has no coherence in narrow sense. The age changes of parotid gland could be ignored in the diagnosis of SS.
出处
《中国临床医学影像杂志》
CAS
北大核心
2006年第2期73-75,共3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
