Parotid gland ultrasonography as a diagnostic tool in primary Sjögren's syndrome.
Parotid gland ultrasonography as a diagnostic tool in primary Sjögren's syndrome.
复制标题
腮腺超声检查作为原发性干燥综合征的诊断工具。
DOI：
10.1093/rheumatology/35.10.972
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发表时间：
1996
期刊：
影响因子：
--
通讯作者：
L. Kovács
中科院分区：
文献类型：
--
作者：
É. Makula;G. Pokorny;M. Rajtár;I. Kiss;A. Kovács;L. Kovács
研究腮腺超声（Acuson 122,7 MHz换能器）对62例原发性Sjögren’s综合征（SS）患者和69例年龄、性别分布相近的对照组的诊断价值。不同程度的实质不均匀性（PIH）是SS最重要的声像图变化；发生率为83.9%。超声检查结果（是否存在PIH）与腮腺涎腺造影、扫描及小唾液腺组织学相吻合的比例分别为87.3、84.7和84.3%。在PIH的程度中，只有明显PIH和总体PIH被认为对SS具有真正的诊断价值。在超声和唾液造影结果良好一致的基础上，如果不能进行唾液造影，建议在SS中考虑引入腮腺超声作为唾液造影的替代方法。
The diagnostic value of parotid gland ultrasonography (Acuson 128, 7 MHz transducer) was studied in 62 patients with primary Sjögren's syndrome (SS) and in 69 controls of similar age and sex distribution. Different degrees (mild, evident or gross) of parenchymal inhomogeneity (PIH) were the most important sonographic changes in SS; they occurred in 83.9% of the patients. The sonographic results (the presence or absence of PIH) were in accordance with the parotid sialographic and scintigraphic findings and the histology of the minor salivary glands in 87.3, 84.7 and 84.3% of the cases, respectively. Of the degrees of PIH, only evident and gross PIH are thought to be of true diagnostic value for SS. On the basis of the good agreement between the sonographic and sialographic results, consideration of the introduction of parotid sonography as an alternative to sialography is suggested in SS if the latter method cannot be performed.