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[干燥综合征患者腮腺唾液腺的X线改变]

[The x-ray changes in the parotid salivary glands of patients with Sjögren's disease].

作者信息

Varshavskiĭ A I, Guberskaia T A, Panchenko K I

出版信息

Ter Arkh. 1994;66(5):54-8.

PMID:7940341
Abstract

The data obtained upon sialography of the parotid glands (PG) in 28 patients with Sjogren's disease (SD) were compared to clinical SD manifestations, PG regional circulation and histological picture of the labial salivary glands. 24 patients exhibited classical sialography characterized by sialoectasias, enlarged ducts, obscure outlines of the latter. 4 sialograms displayed the duct narrowing, noncontrast parenchyma outlines, unclear images of sialoectasias. Severe xerostomia, marked dryness of the vermilion border, rare enlargement of the salivary glands and parotitis recurrences occurred more frequently in patients with narrow efferent PG ducts. These changes are attributed to vascular sclerosis, devascularization, stromal sclerosis and parenchymal PG atrophy.

摘要

将28例干燥综合征(SD)患者腮腺造影(PG)所获数据与临床SD表现、PG区域循环及唇腺组织学图像进行比较。24例患者表现出典型的腮腺造影特征,即涎管扩张、导管增粗、导管轮廓模糊。4例腮腺造影片显示导管狭窄、实质无造影剂充盈、涎管扩张影像不清。腮腺导管狭窄的患者更常出现严重口干、唇红缘明显干燥、涎腺罕见肿大及腮腺炎复发。这些变化归因于血管硬化、血管减少、间质硬化及腮腺实质萎缩。

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