특발성 만성 타액선염 진단에 있어서 자기공명 타액선 조영술의 유용성

황준하; 안호진; 최정석; 이하영; 임재열

추천

검색

자료유형: 학술저널

저자정보: 황준하 안호진 최정석 이하영 임재열

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제59권 제1호

발행연도: 2016.1

수록면: 41 - 48 (8page)

이용수

📌

연구주제

📖

연구배경

🔬

연구방법

🏆

연구결과

초록· 키워드

오류제보하기

Background and Objectives The symptoms of salivary diseasess are often nonspecific, and a variety of investigative methods can be employed. Conventional sialography, which is still widely used for diagnosis of salivary ductal pathologies, has the withdrawback of invasiveness and radiation exposure, and thus ultrasound and magnetic resonance (MR) sialography can replace the conventional tools. This study was performed to evaluate the usefulness of MR sialography for the diagnosis of idiopathic chronic sialadenitis. Subjects and Method From November 2013 to June 2014, we have retrospectively analyzed 26 patients who have had swelling and pain of salivary glands and undergone MR sialography for further diagnosis of the idiopathic salivary obstructive symptom. We analyzed the symptom scores, salivary flow rate (SFR) and parameters of salivary gland scintigraphy. Then we evaluated correlation among MR sialography findings (duct visualization, grade of stenosis at main duct, degree of sialectasis and glandular volume size). Results Among the 26 patients, stenosis of salivary duct was observed in 14 patients (53.8%), chronic sialadenitis without stenosis in 6 patients (23.1%), Sjögren’s syndrome in 3 patients (11.5%), Juvenile reccutent parotitis in 1 patient (3.8%), and 2 patients were norma (7.7%). The degree of sialectasis was significantly correlated with Tmin (time interval, in minutes, from stimulation to minimum count), maximum secretion (p＜0.05), and glandular volume size was also significantly correlated with unstimulated SFR (p＜0.05). But others did not show any significant correlations. From these findings, we report three cases that were useful to diagnose the gland disease using MR sialography. Conclusion Resutls show that MR sialogarphy indirectly reflects the salivary gland function. Therefore MR sialography can be helpful when the differential diagnosis of idiopathic chronic sialadenitis is difficult with conventional tools. Korean J Otorhinolaryngol-Head Neck Surg 2016;59(1):41-8

#Magnetic resonance sialography ㆍSalivary flow rate ㆍ Salivary gland scintigraphy ㆍSialadenitis.

참고문헌 (18)

참고문헌 신청

Karaca Erdoğan N / 2013 / Magnetic resonance sialography findings of submandibular ducts imaging / Biomed Res Int 2013:417052

Jungehülsing M / 1999 / Magnetic resonance sialography / Otolaryngol Head Neck Surg 121(4):488~494

김재원 / 2008 / 폐쇄성 타액선염을 일으키는 드문 타액선관 질환들에서 타액선 내시경술의 유용성 / 대한이비인후과학회지 두경부외과학 51(10):903~907

Klutmann S / 1999 / Quantitative salivary gland scintigraphy / J Nucl Med Technol 27(1):20~26

Uddin SM / 2011 / Does MR sialography have a greater diagnostic accuracy than conventional X-ray and digital subtraction sialography in detecting salivary glands disease? A literature review / Nep J Radiology 1(1):70~77

함께 읽어보면 좋을 논문

논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!