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干燥綜合征超聲和核素顯像評價腮腺受損的比較

摘要:目的:探討超聲與核素顯像在評價干燥綜合征(SS)腮腺受累情況中的價值和作用。方法:對65例SS病人分別進行超聲和核素顯像檢查。結果:超聲判為腮腺功能0級、I級、ⅡⅢ級、Ⅳ級的能力與核素顯像判為正常(χ2=0.075,Pgt;0.05)、輕度(χ2=0.12,Pgt;0.05)、中度(χ2=0.27,Pgt;0.05)、重度(χ2=0.097,Pgt;0.05)受損的能力一致,差異無統計學意義;核素發現單純攝取功能受損的超聲多表現為不均勻型、單純排泌功能受損的超聲多表現為結節型、攝取和排泌功能均受損的超聲多表現為纖維化型。結論:超聲檢查可作為SS患者腮腺受累情況評價的良好手段。Abstract: Objective: To quantitatively evaluate ultrasonography and radionuclide imaging in thediagnosis of parotid gland involvement in Sjogren syndrome (SS). Methods: Ultrasonography and radionuclide imaging were conducted on 65 cases with primary Sjogren syndrome. Results: There was no significant difference statistically between the ultrasonographic appearance of the parotid gland and radionuclide imaging (P gt;0. 05). Conclusion: As for diagnosis and evaluating the parotid gland of Sjogren syndrome, ultrasonography may be the useful choice.