[超声检查和闪烁扫描术在腺淋巴瘤（沃辛瘤）诊断中的应用]
[Sonography and scintigraphy in the diagnosis of cystadenolymphomas (warthin tumor)].
作者信息
Canbay A E, Knorz S, Heimann K D, Hildmann H, Tiedjen K U
机构信息
St. Elisabeth-Hospital gGmbH Bochum Abteilung für Radiologie und Nuklearmedizin, Bochum, Germany.
出版信息
Laryngorhinootologie. 2002 Nov;81(11):815-9. doi: 10.1055/s-2002-35770.
BACKGROUND
Is scintigraphy in the preoperative diagnosis of cystadenolymphomas dispensable?
PATIENTS AND METHODS
In this prospective study 35 patients with tumors of the parotid gland were examined sonographically and scintigraphycally and the results were compared with the histological findings.
RESULTS
By means of sonography 88 % (22/25) of the cystadenolymphomas were correctly diagnosed and by means of scintigraphy 80 % (20/25).
CONCLUSIONS
Sonography is recommendable as the first-line diagnostic procedure in cystadenolymphomas because it is without radiation load, the free choice of the echographic plane, and it can be repeated as often as desired. Scintigraphy adds in selected cases, as in elder patients, additional informations. The combination of sonography and scintigraphy confirms the presence of cystadenolymphoma and allows the surgeon to make a decision and to avoid surgery especially in high-risk patients.
背景
闪烁扫描术在腮腺囊腺瘤淋巴瘤的术前诊断中是否可有可无？
患者与方法
在这项前瞻性研究中，对35例腮腺肿瘤患者进行了超声检查和闪烁扫描检查，并将结果与组织学检查结果进行比较。
结果
通过超声检查，88%（22/25）的腮腺囊腺瘤淋巴瘤被正确诊断，通过闪烁扫描术诊断率为80%（20/25）。
结论
超声检查作为腮腺囊腺瘤淋巴瘤的一线诊断方法值得推荐，因为它无辐射负担，可自由选择超声检查平面，且可根据需要反复进行。在某些特定情况下，如老年患者，闪烁扫描术可提供额外信息。超声检查和闪烁扫描术相结合可确诊腮腺囊腺瘤淋巴瘤，并使外科医生能够做出决策，尤其可避免对高危患者进行手术。
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