| 摘要: |
| 目的: 探讨颌面部木村病的超声声像图表现。方法: 回顾性分析7例颌面部木村病的超声声像图特征。结果: 男性6例，女性1例，年龄18—60岁，病程2个月—15年不等，表现为颌面部慢性无痛性肿块及颈部淋巴结长大，1例出现耳周局部皮肤瘙痒伴色素沉着。5例肿块为单发，分别位于颊部及耳周皮下、颌下腺，1例为右侧颌下腺及腮腺内肿块，1例为双侧腮腺内肿块。6例肿块边界不清楚，形态不规则，伴有嗜酸性粒细胞升高；1例肿块边界清楚，形态规则，嗜酸性粒细胞正常。所有肿块内部均呈不均匀低回声，血流信号为Ⅰ—Ⅲ级。6例肿块周围或颈部伴多发淋巴结长大。结论: 颌面部木村病的超声声像图具有一定特征性，仔细分析其征象并密切结合病史及实验室检查有助于该病的诊断。 |
| 关键词: 颌面部 木村病 超声检查 |
| DOI： |
| 投稿时间：2018-11-02修订日期：2018-12-16 |
| 基金项目: |
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| Ultrasonic features of kimura’s disease in maxillofacial region |
| CHEN HONG YAN,LIN Ling |
| (West China Hospital, Sichuan University) |
| Abstract: |
| [Abstract] Objective: To observe the characteristics of kimura’s disease in maxillofacial region. Methods: Ultrasonic features of 7 patients with kimura’s disease in maxillofacial region were retrospectively analyzed. Results: The patients included 6 males, 1 females, aged 18-60 years old, and the clinical courses varied from 2 months to 15 years. The chief complain were chronic painless maxillofacial masses and enlarged lymph nodes in the neck. One case appeared local itching skin with pigmentation around the ear. 5 cases showed a single mass, they were located in the subcutaneous of buccal and periauricular, submandibular glands respectively, 1 case showed masses in the right submandibular gland and parotid gland, 1 case showed masses in bilateral parotid. The boundary of 6 cases were unclear and irregular with high blood eosinophilia, 1 case had clear boundary and regular shape with normal blood eosinophilia. All masses presented inhomogeneous hypoecho and the blood flow signals were category Ⅰ-Ⅲ. In 6 cases, multiple enlarged lymphnodes appeared around the masses or on the neck. Conclusion: The ultrasonic signs of kimura’s disease in maxillofacial region have some characteristics. With careful analysis of the ultrasonic signs and close connection with medical history and laboratory testing are helpful to the diagnosis. |
| Key words: Maxillofacial region Kimura’s disease Ultrasonography |
