目的：探讨超声对腮腺多形性腺瘤和Warthin’s瘤的诊断价值。方法：回顾性分析经手术病理证实的56例腮腺多形性腺瘤和54例Warthin’s瘤的临床资料，及其二维、彩色多普勒及超声弹性声像图资料，并进行统计学处理。结果：多形性腺瘤和Warthin’s瘤的性别、年龄、发病数目、发病象限、横纵径比值、形态、内部回声、特征性无回声、0级和Ⅲ级血流信号出现率、弹性评分分值等方面差异均有统计学意义（P<0.05）；在发病部位、最大径、最小径、边界、内部强回声等方面差异均无统计学意义（P>0.05）。结论：腮腺多形性腺瘤和Warthin’s瘤的超声声像图有一定特征，结合临床病史可帮助对二者的鉴别诊断。%Objective: To discuss the diagnostic value of ultrasound on parotid pleomorphic adenoma and Warthin's tu-mor. Methods: We retrospectively analyzed two dimensional and color Doppler ultrasonic elasticity among 56 cases of pleomorphic adenoma and 54 cases of Warthin′s tumor, pathologically confirmed in parotid glands. Results: There were significant differences (P<0.05) between pleomorphic adenoma and Warthin′s tumor in gender, age distribution, number of morbidity, the incidence ratio quadrant, vertical and horizontal size, shape, internal echo, the characteristic echo-free, level 0 and level III blood flow rate, and flexible rating scores. But the tumor location, size, most trails, boundary, strong internal echoes were no differences (P>0.05). Conclusion: Ultrasonographic characteristics of parotid pleomorphic adenoma and Warthin's tumor, combined with the clinical history, do importance and practical value to differentiate between them.
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