超声在头颈部包块诊断中的疗效评估。
An evaluation of efficacy of ultrasonography in the diagnosis of head and neck swellings.
机构信息
Department of Oral Medicine and Radiology, Sharad Pawar Dental College and Hospital, Sawangi (M) Wardha, India.
出版信息
Dentomaxillofac Radiol. 2011 May;40(4):213-21. doi: 10.1259/dmfr/68658286.
OBJECTIVE
The aim of this study was to evaluate the efficacy of ultrasonography in the diagnosis of swellings in the head and neck regions.
METHODS
For this study, 70 cases with clinically obvious swellings in head and neck regions were selected randomly. The ultrasonographic features considered were shape, boundary, echo intensity, ultrasound architecture of lesion, posterior echoes and ultrasound characteristic of tissues. Intergroup comparisons were made between four different types of swellings: inflammatory; cystic; benign; and malignant.
RESULTS
A comparison was made between benign and malignant neoplasms, and the criteria of boundary, echo intensity and ultrasound architecture of lesions are statistically significant as the P-value is <0.05. The comparison of inflammatory swellings and malignant neoplasms shows that criteria of boundary and ultrasound architecture of lesions are statistically significant. The comparison of cystic swellings and benign neoplasms concluded that only the criterion of ultrasound characteristics of tissues is statistically significant. The comparison of inflammatory swellings and benign neoplasms shows that the criteria of boundary and echo intensity are statistically significant. The comparison of inflammatory swellings and cystic swellings concluded that the criteria of boundary, shape, echo intensity, posterior echoes and ultrasound characteristics of tissues are statistically significant. The comparison of cystic swellings and malignant neoplasms concluded that the criteria of ultrasonography, boundary, shape, echo intensity, ultrasound architecture of lesion, posterior echoes and ultrasound characteristics of tissues are statistically significant as the P-value is <0.05.
CONCLUSION
It can be concluded that clinical diagnosis had a sensitivity and accuracy of 85.7% and ultrasonographic diagnosis had a sensitivity and accuracy of 98.5%.
目的
本研究旨在评估超声在头颈部肿块诊断中的作用。
方法
本研究随机选取 70 例头颈部有明显临床肿块的患者。考虑的超声特征包括形状、边界、回声强度、病变的超声结构、后方回声和组织的超声特征。将四种不同类型的肿块（炎性、囊性、良性和恶性）进行组间比较。
结果
良性和恶性肿瘤之间进行了比较，边界、回声强度和病变的超声结构这三个标准具有统计学意义（P 值<0.05）。炎性肿块和恶性肿瘤的比较显示，边界和病变的超声结构这两个标准具有统计学意义。囊性肿块和良性肿瘤的比较表明，只有组织的超声特征这一标准具有统计学意义。炎性肿块和良性肿瘤的比较显示，边界和回声强度这两个标准具有统计学意义。炎性肿块和囊性肿块的比较表明，边界、形状、回声强度、后方回声和组织的超声特征这五个标准具有统计学意义（P 值<0.05）。囊性肿块和恶性肿瘤的比较表明，超声、边界、形状、回声强度、病变的超声结构、后方回声和组织的超声特征这七个标准具有统计学意义（P 值<0.05）。
结论
可以得出结论，临床诊断的敏感性和准确性为 85.7%，超声诊断的敏感性和准确性为 98.5%。
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