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对23例腮腺肿块进行了MRI扫描,部份病例同时作了B超、造影及CT,并追踪术后病检.结果表明:①MRI对腮腺具有较CT更强的组织分辨力,能显示腺内主要的神经、血管.②能准确判定腺内有无占位性病变.③能准确判定腺内、外肿瘤.④立体成像,能多方位观察肿瘤位置、范围及周围组织关系.恶性肿瘤可了解颈部转移情况,有助于指导临床分期、治疗及预后估计.⑤根据形态及边界特点,能判断大多数肿瘤的良恶性,但两者的T1,T2信号变化无特异性.⑥腮腺非肿瘤性病变的T1,T2信号变化无特异性,不如常规X线造影.
Twenty-three cases of parotid gland masses were scanned by MRI. In some cases, B-mode ultrasound, CT and CT were performed at the same time. The results showed that: ① MRI of the parotid gland than CT has a stronger tissue resolution, can show the main glandular nerves and blood vessels. ② can accurately determine the presence of gland lesions. ③ can accurately determine the gland, outside the tumor. ④ three-dimensional imaging, multi-directional observation of tumor location, scope and the surrounding tissue. Malignant tumor can understand the situation of neck metastasis, help to guide the clinical stage, treatment and prognosis. ⑤ According to the morphology and the characteristics of the border, most of the tumors can be judged benign and malignant, but the two T1 and T2 signal changes without specificity. ⑥ parotid non-neoplastic lesions T1, T2 signal changes without specificity, as conventional radiography.