Department of Dentomaxillofacial Radiology, Faculty of Dentistry, Lokman Hekim University, Ankara, Turkey.
Department of Dentomaxillofacial Radiology, Faculty of Dentistry, Istanbul Health and Technology University, Istanbul, Turkey.
J Oral Rehabil. 2024 Jul;51(7):1144-1157. doi: 10.1111/joor.13685. Epub 2024 Mar 21.
Microvascular complications of diabetes mellitus (DM) include oral manifestations and complications, including xerostomia, reduced salivary flow, susceptibility to infection, periodontal disease and salivary gland enlargement.
The present study aims to evaluate B-mode ultrasonography (USG) parameters such as size, volume and echogenicity of the submandibular and parotid salivary glands on both sides, shear-wave elastography (SWE) value and colour Doppler properties in patients with DM and healthy control groups.
In total, 160 right and left submandibular glands and 160 right and left parotid glands of 80 patients, 40 patients (20 type 1 DM, 20 type 2 DM) and 40 healthy control group, between the ages of 18-70 were examined by USG. Echogenicity, parenchyma internal structure, margin and dimensional measurements (antero-posterior length, supero-inferior length, medio-lateral length and volume) and colour Doppler with 'ML 6-15-D Matrix Array (4-15 MHz)' probe, shear-wave elastography '9L-D (2-8 MHz)' probe was investigated.
Statistically significant difference was observed in echogenicity in the right submandibular gland, echogenicity in the right parotid gland, margin characteristics, parenchymal homogeneity and colour Doppler characteristics between the type 1 DM, type 2 DM and control groups (p < .05). It was observed that the size, volume and SWE values of both submandibular and parotid glands were higher in the DM patient group than in the control group. Higher values were observed in type 2 DM compared to type 1 DM in the patient group.
USG is an effective imaging technique in investigating the effects of diabetes on the submandibular and parotid salivary glands.
糖尿病（DM）的微血管并发症包括口腔表现和并发症，包括口干、唾液流量减少、易感染、牙周病和唾液腺肿大。
本研究旨在评估 DM 患者和健康对照组双侧下颌下腺和腮腺的 B 型超声（USG）参数，如大小、体积和回声强度、剪切波弹性成像（SWE）值和彩色多普勒特性。
共检查了 80 名患者的 160 个右侧和左侧下颌下腺和 160 个右侧和左侧腮腺，40 名患者（20 名 1 型 DM，20 名 2 型 DM）和 40 名健康对照组，年龄在 18-70 岁之间。使用 USG 检查回声强度、实质内部结构、边缘和尺寸测量值（前后长度、上下长度、左右长度和体积）以及彩色多普勒，使用“ML 6-15-D Matrix Array（4-15 MHz）”探头和剪切波弹性成像“9L-D（2-8 MHz）”探头。
1 型 DM、2 型 DM 和对照组之间，右侧下颌下腺回声强度、右侧腮腺回声强度、边缘特征、实质均匀性和彩色多普勒特征存在统计学差异（p<0.05）。结果发现，DM 患者组的双侧下颌下腺和腮腺的大小、体积和 SWE 值均高于对照组。在患者组中，2 型 DM 比 1 型 DM 的值更高。
USG 是一种有效的成像技术，可用于研究糖尿病对下颌下腺和腮腺的影响。
