超声联合临床评分法对腮腺多形性腺瘤与腺淋巴瘤的鉴别诊断价值

Value of Ultrasound and Clinical Scoring in Differentiating Pleomorphic Adenoma from Adenolymphoma of Parotid Gland

目的为鉴别诊断腮腺多形性腺瘤与腺淋巴瘤探索一种准确率高且易于超声医师掌握的评估方法。方法回顾性分析我院手术后病理证实的22个多形性腺瘤和16个腺淋巴瘤共38个腮腺肿块,进行超声联合临床评分,应用受试者工作特性曲线(ROC曲线)对评分进行分析评价,拟定最佳临界值。结果超声联合临床评分法鉴别诊断腮腺淋巴瘤与多形性腺瘤的最佳临界值为3分,此时诊断腮腺多形性腺瘤与腺淋巴瘤的敏感性为87.5%,特异性为77.2%。结论超声联合临床评分法有助于腮腺多形性腺瘤与腺淋巴瘤的鉴别诊断。

Objective To explore a high accurate and easy evaluation method by ultrasound and clinical scoring, Methods 22 pleomorphic adenoma and 16 adenolymphoma of parotid gland confirmed by pathology were analyzed retrospectively, ultrasound and clinical scoring of pleomorphic adenoma and adenolymphoma were performed, ROC curve was applied to evaluate the score threshold. Results The score threshold for distinguishing pleomorphic adenoma and adenolymphoma was 3, the sensitivity of ultrasound and clinical scoring method for differential diagnosis between pleomorphic adenoma and adenolymphoma was 87.5%, the specificity was 77.2%. Conclusions Ultrasound and clinical scoring is valuable for differential diagnosis between pleomorphic adenoma and adenolymphoma.