中国医学装备2017，Vol.14Issue(8)：88-90,3.DOI:10.3969/J.ISSN.1672-8270.2017.08.024
MRI对双侧头颈部软组织病变的诊断意义研究
A research on the value of MRI in diagnosis of soft tissue lesions of bilateral head and neck
摘要
Abstract
Objective:To investigate the clinical value of MRI in the diagnosis of soft tissue lesions of bilateral head and neck.Methods: 36 patients with soft tissue lesions in bilateral head and neck were confirmed by using postoperative histopathological examination. The patients they were scanned by using MRI before they received operation, and the relevant data were saved. To compared the diagnostic results of pathology with that of MRI and the diagnostic coincidence rate of the two methods was obtained by using classified statistic. And then the situations of missed diagnosis and misdiagnose were observed.Results: The pathological diagnosis revealed that there were 30 cases were benign (83.33%) and there were 6 cases were malignant (16.67%) in these patients. There was no patient was missed diagnosis by using MRI, and the total coincidence rate was 86.11% (31/36) and the misdiagnosis rate was 13.89% (5/36) when the results of MRI compared with that of pathological diagnosis. For benign lesion, the coincidence rate and misdiagnosis rate between MRI and pathological diagnosis were 86.67% and 13.33%, respectively. For malignant lesion, the coincidence rate and misdiagnosis rate between MRI and pathological diagnosis were 83.33% and 16.67%, respectively. The differences of coincidence rate and misdiagnosis rate for benign lesion and malignant lesion between MRI and pathological diagnosis were not statistically significant (x2=0.123,P>0.05). For series of disease including of bilateral submandibular lymph epithelial tumor, bilateral parotid lymphoepithelial tumor, hemangioma of neck and bilateral parotid eosinophilic poradenitis, the coincidence rate of MRI and pathological diagnosis achieved to 100.00%. Besides, the detectable rates of MRI for reactive hyperplasia of lymph node in neck, tuberculo-lymphadenitis in neck and B cellular type malignant lymphoma tumor in neck were 66.67%, 80.00% and 83.33%, respectively, and all of these detectable rates of MRI were significantly higher than that of pathological diagnosis (x2=0.053,P<0.05).Conclusion: MRI scanning and enhanced scanning have higher accuracy in the diagnosis of soft tissue lesions in bilateral head and neck, which can provide exact basis for diagnosis and clinical treatment. And it should be chosen as the first choice in imaging examination for soft tissue lesions in bilateral head and neck.关键词
双侧/头颈部软组织病变/核磁共振/临床诊断Key words
Bilateral/Soft tissue lesion of head and neck/Nuclear magnetic resonance/Clinical diagnosis分类
医药卫生引用本文复制引用
洪莲,任鸿萍,刘华,张正甫,张毅辉,廖洪飞..MRI对双侧头颈部软组织病变的诊断意义研究[J].中国医学装备,2017,14(8):88-90,3.基金项目
四川省卫生和计划生育科研课题资助项目(17P1191)"多发脑转移瘤全脑放疗联合伽马刀治疗时机及放射剂量选择的应用研究" （17P1191）
