颞下颌关节结构紊乱的解剖学及病理学观察

为研究颞下颌关节结构紊乱和骨关节病的关系，作者对８４侧老年尸体关节标本进行了解剖学及病理学的观察，认为：①颞下颌关节结构紊乱和骨关节病之间关系密切，但并不一定存在着必然的因果关系，二者均可首先发生或相伴发生；②临床上表现为病程迁延并发生明显盘变形的结构紊乱病例，其病理实质应确认为退行性关节病改变。本研究结果不同意国外某些学者的骨关节病和关节结构紊乱为两种不同病理实体的观点。作者还对关节盘双板区前部纤维化问题和关节盘旋转移位问题进行了讨论。     

腮腺区肿块的影像学诊断

腮腺区肿块在临床颇为常见,手术治疗前必须了解肿块的范围和性质,才能制订合理的手术方案。本研究应用现代医学影像学的各种手段,在以下六个方面进行了研究: 1.对132例患者作超声检查,将腮腺肿瘤的声像图分为五型,分别以良性肿瘤、具侵袭性的良性肿瘤、低度恶性肿瘤、恶性肿瘤及腺淋巴瘤为多见,将诊断结果与术后病理相对照,诊断符合率为     

COMBINED IMAGING DIAGNOSIS OF PAROTID MASSES

Computed tomography (CT), ultrasonography, sialography, and 99mTc scintigraphy were applied before operation to 108 patients with parotid masses. The results of each technique and the combined study of them were compared with the pathological diagnosis. Ultrasonography was found to be a very effective diagnostic aid in determining the presence of space-occupying lesion in the parotid. CT was the best technique to provide adequately reliable informations regarding the location of the tumor and the relationship between tumor and surrounding tissues. For diagnosing the nature of tumors, ultrasonography combined with sialography was reliable. 99mTc scintigraphy was better than other techniques in diagnosis of adenolymphoma. The diagnostic accuracy of combined diagnosis (90.7%) was higher than those of ultrasonography (83%), CT (80.5%), sialography (79%), and 99mTc scintigraphy (13.9%) alone. The advantage of combined diagnosis was particularly obvious for the diagnosis of low-grade malignant tumors.     

成人复发性腮腺炎组织病理观察一例

成人复发性腮腺炎组织病理观察一例王松灵，邹兆菊，吴奇光，孙开华到目前为止，成人复发性腮腺炎的本质及转归仍不清楚。就我们所知，文献中关于成人复发性腮腺炎的报道很少，尤其是关于其组织病理方面。本文就１例成人复发性腮腺炎的腮腺造影、组织像及超微病理表现报告...     

COMPUTED TOMOGRAPHY OF PAROTID MASSES

Fifty-six patients with parotid masses, benign tumors in 22, malignant tumors 26 and other diseases 8, were examined by CT scan, which can differentiate intrinsic from extrinsic parotid lesions, especially deep lobe from parapharyngeal tumors and typical benign tumors from malignant ones, but may fail to differentiate aggressive benign tumors from low-grade malignant ones. CT sialography was done to detect the relation between the trunk of the facial nerves and tumor according to the band of normal parotid tissue between the tumor and posterior border of the mandibular ramus, and incremental dynamic CT with intravenous bolus injection of contrast medium to detect the relation between the tumor and carotid sheath. We conclude that the images of CT sialography are much better than those of plain CT and intravenous enhancement CT.     

Chronic suppurative parotitis: a proposed classification.

ＣＨＲＯＮＩＣＳＵＰＰＵＲＡＴＩＶＥＰＡＲＯＴＩＴＩＳ：ＡＰＲＯＰＯＳＥＤＣＬＡＳＳＩＦＩＣＡＴＩＯＮＷａｎｇＳｏｎｇｌｉｎｇ王松灵，ＺｏｕＺｈａｏｊｕ邹兆菊，ＷｕＱｉｇｕａｎｇ吴奇光，ＳｕｎＫａｉｈｕａ孙开华ＭａＸｕｃｈｅｎ马绪臣ａｎｄＺｈｕＸｕａ...     

儿童复发性腮腺炎

儿童复发性腮腺炎发生在青春期以前,以腮腺反复肿胀为特点,常易误诊为“流行性腮腺炎”。临床表现发病年龄在8个月到青春期前不等,以3～4岁首发多见,男女比例相当。部分患儿发病前有流腮接触史或患过流腮;腮腺肿胀可发生于一侧,亦可双侧;同时或交替发作。发     

舍格伦综合征亚临床型

目的进一步观察舍格伦综合征（Ｓｊ¨ｏｇｒｅｎ＇ｓｓｙｎｄｒｏｍｅ，ＳＳ）亚临床型的各种表现及治疗。方法对２４例ＳＳ亚临床型患者长期临床观察，并行实验室、腮腺造影及肌内注射胸腺肽治疗。结果２４例患者在出现口干、眼干之前有腮腺反复肿胀史２～１７年（平均７年），均误诊为“慢性化脓性腮腺炎”或“腮腺腺炎”，追踪观察均为典型的ＳＳ。２４例中有１０例患者同时伴有脉管炎或出血性紫癜，占４０％，脉管系统受累较普遍。腮腺造影以末梢导管扩张伴主导管扩张及边缘粗糙为主，１２／２４例，占７０％。肌内注射胸腺肽能明显减少腮腺反复肿胀发作频率。结论提出ＳＳ亚临床型对澄清慢性腮腺炎症命名及分类上的混乱有实际意义，并对早期诊治ＳＳ有指导意义。肌内注射胸腺肽能减少肿胀发作频率。     

腮腺转移癌(附18例报告)

<正> 腮腺肿瘤极大多数是原发的。但是,由于腮腺含有较为丰富的淋巴管和淋巴结,恶性肿瘤可能转移到此区。本文搜集1962～1985年间腮腺转移癌18例,结合文献,就其诊断和治疗等问题进行讨论。腮腺淋巴系统的解剖腮腺含有与头颈部各区相关的淋巴网,其中约有20～30个淋巴结,可分为腮腺浅淋巴结、腺实质淋巴结及腮腺深淋巴结三组。