MRI诊断头颈部木村病的临床价值

Clinical value of MRI diagnosis of kimura's disease in head and neck

目的探讨MRI诊断头颈部木村病的临床价值。方法选取我院2010年4月~2016年4月收治的头颈部木村病患者43例作为研究对象,所有患者均行MRI检查,记录患者的病灶情况、临床表现、MRI表现以及病理学表现。结果 43例患者中,发现59个病灶,其中37例患者病灶部位在单侧,6例患者病灶在双侧。而病灶部位主要在腮腺及皮下肿块(11例)、腮腺(9例)、右侧腮腺及右侧耳周(7例)、左侧腮腺及右侧颌下腺(7例)、双侧腮腺及下颌腺(6例)、右侧腮腺及颞区皮下肿块(3例)。经MRI检查显示59个病灶中有56个病灶(94.92%)浸润到皮下组织,产生弥漫性肿块,显示边界欠清晰,病灶形态不规则。结论临床上对木村病的诊断需须结合相关实验室检查及临床表现来确诊,而影像学检查中MRI诊断头颈部木村病的诊断准确率更高,值得临床广泛应用。

Objective To investigate the clinical value of MRI in the diagnosis of kimura＇s disease in head and neck. Meth- ods In our hospital from April of 2010 to April of 2016, 43 patients with head and neck Kimura disease were selected as the object of study. All patients underwent MRI examination and lesions, patients clinical manifestations and MRI findings and pathology were recorded. Results In 43 patients, 59 lesions were found, of which 37 cases were located in the ipsilatesal side, and the le- sions were in the bilateral side in 6 cases. The main lesions were in the parotid gland and subcutaneous tumors （11 cases） , parot- id gland （9 cases）, right parotid gland and right ear （7 cases）, left and right parotid gland （7 cases）, bilateral parotid and sub- mandibular gland （6 cases）, right parotid gland and temporal subsutaneous region mass （3 cases）. MRI examination showed that 59 lesions （94.92%） had 56 lesions infiltrated into the subcutaneous tissue, resulting in a diffuse mass, with a clear border and irregular shape of the lesion. Conclusion The clinical diagnosis of Kimura disease needs to be combined with relevant laboratory examination and clinical manifestations . MRI is more accurate in the diagnosis of head and neck Kimura disease, so, it is worthy of wide clinical application.