Journal of the Korean Society of Radiology (대한영상의학회지)

The Korean Society of Radiology (대한영상의학회)
권호 표지

Comparative Study of the CT Findings and Clinical Features in Pediatric and Adult Sialadenitis

소아 및 성인 타액선염 환자들에 있어서의 전산화단층촬영 소견과 임상적인 특징의 비교

  • Han, Jong-Kyu (Department of Radiology, Soonchunhyang University Cheonan Hospital) ;
  • Jo, Seong-Shik (Department of Radiology, Soonchunhyang University Cheonan Hospital) ;
  • Kim, Sang-Won (Department of Radiology, Soonchunhyang University Cheonan Hospital) ;
  • Kim, Young-Tong (Department of Radiology, Soonchunhyang University Cheonan Hospital) ;
  • Shin, Hyeong-Cheol (Department of Radiology, Soonchunhyang University Cheonan Hospital) ;
  • Kim, Il-Young (Department of Radiology, Soonchunhyang University Cheonan Hospital) ;
  • Lee, Yong-Man (Department of Otorhinolaryngology, Soonchunhyang University Cheonan Hospital)
  • 한종규 (순천향대학교 천안병원 영상의학과) ;
  • 조성식 (순천향대학교 천안병원 영상의학과) ;
  • 김상원 (순천향대학교 천안병원 영상의학과) ;
  • 김영통 (순천향대학교 천안병원 영상의학과) ;
  • 신형철 (순천향대학교 천안병원 영상의학과) ;
  • 김일영 (순천향대학교 천안병원 영상의학과) ;
  • 이용만 (순천향대학교 천안병원 이비인후과)
  • Received : 2010.05.10
  • Accepted : 2010.07.22
  • Published : 2010.10.01
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Abstract

Purpose: We wanted to compare the CT findings and clinical features of parotitis and submandibular sialadenitis in children and adults and to evaluate the statistical significance of these in different age groups and the usefulness of a CT scan. Materials and Methods: Ninety-seven adults and 36 pediatric patients with sialadenitis were included in this retrospective study. Regardless of the site of involvement, we evaluated the CT findings and clinical manifestations between the pediatric and adult groups, and between the pediatric and adult parotitis and submandibular sialadenitis groups. At last, all the patients were classified into seven age groups. Results: Abscess formations were more prominent in the parotitis groups, and sialiths were more common in the submandibular sialadenitis group with the lowest incidence in the young children group (${\leq}$ 10 years). Cellulitis seen on a CT scan showed a higher incidence in the adult parotitis group, and this finding was closely connected with pain. A number of patients showed cervical lymphadenitis on a CT scan and this coincided with lymph node palpation. Tonsillitis associated sialadenitis was common in the pediatric group. The therapeutic durations were longer in the pediatric parotitis patient group and the adult submandibular sialadenitis group. Conclusion: CT scans were very helpful to evaluate for abscess, stone, lymphadenitis and estimating the associated clinical manifestations such as swelling, palpable lymph nodes, pain with operation and the therapeutic plan.

목적: 이하선염이나 악하선염으로 진단된 소아 및 성인환자들의 CT 소견과 임상적인 특징들을 비교하여 통계학적인 의미와 CT의 유용성을 알아보고자 하였다. 대상과 방법: 타액선염으로 진단된 성인 97명과 소아 36명을 대상으로 CT 소견과 임상기록을 후향적으로 분석하였다. 첫 번째 분류는 소아 및 성인군으로, 두 번째는 이하선 및 악하선 군으로 마지막으로 7개 연령군으로 분류하여 조사하였다. 결과: 농양형성은 소아 및 성인 모두에서 이하선염 군이 악하선염 군에 많았고, 결석은 성인 군 및 악하선염 군에서 많았으며, 10세 이하의 소아 군이 현저히 적었다. 봉와직염은 성인 및 이하선염 군에서 많았다. CT에서의 림프절염 소견이 있었던 환자에서 실제로 림프선이 만져졌던 경우가 많았다. 소아 군이 편도선염의 빈도가 높았고, 소아 군은 이하선염 군에서, 성인 군은 악하선염에서 치료기간이 길었다(p < 0.05). 결론: CT는 타액선염을 진단하는데 유용하고 농양형성, 결석, 림프절염을 확인하고 관련된 임상적인 특징들을 예측할 수 있어 치료계획을 세우거나 예후를 예측하는데 유용하다.

Keywords

References

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