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大唾液腺超声检查在干燥综合征诊断中的应用:在诊断标准中有一席之地吗?

Major Salivary Gland Ultrasonography in the Diagnosis of Sjögren's Syndrome: A Place in the Diagnostic Criteria?

作者信息

Jonsson Malin V, Baldini Chiara

机构信息

Section for Oral and Maxillofacial Radiology, Department of Clinical Dentistry, Faculty of Medicine and Dentistry, University of Bergen, Årstadveien 19, Bergen N-5009, Norway; Broegelmann Research Laboratory, Department of Clinical Medicine, Faculty of Medicine and Dentistry, University of Bergen, Bergen, Norway.

Rheumatology Unit, University of Pisa, Roma 67, 56126 Pisa, Italy.

出版信息

Rheum Dis Clin North Am. 2016 Aug;42(3):501-17. doi: 10.1016/j.rdc.2016.03.008.

Abstract

Major salivary gland (SG) ultrasonography (US) represents a noninvasive, nonirradiating imaging modality for evaluation of the major SGs in the diagnosis and follow-up of primary and secondary Sjögren syndrome. Structural changes can be visualized as hyperechogenic and hypoechogenic areas, inhomogeneity, and altered echogenicity in general. The reliability of SG-US is poorly investigated, and the definition of US abnormalities varies in previously published studies. Recent studies have shown correlations between SG-US findings and focus score in the minor SGs; however further studies are needed to validate a US criterion in updated classification/diagnostic criteria.

摘要

大唾液腺超声检查是一种用于评估大唾液腺的无创、无辐射成像方式,可用于原发性和继发性干燥综合征的诊断及随访。结构变化通常可表现为高回声区、低回声区、不均匀性及回声改变。唾液腺超声检查的可靠性研究较少,且先前发表的研究中对超声异常的定义各不相同。近期研究表明,唾液腺超声检查结果与小唾液腺的灶性评分之间存在相关性;然而,需要进一步研究以验证更新的分类/诊断标准中的超声标准。

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