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目的探讨颌面区木村病的临床及影像表现,提高对该病的认识及诊断准确率。方法搜集2例经手术病理证实的木村病的临床及影像资料,复习相关文献,分析其影像学特点。结果 2例木村病均位于颌面部,均见颌下部多发淋巴结肿大。1例CT检查主要表现为左颌下部及颏下部淋巴结肿大,1例MRI检查发现颌面部软组织增厚、肿胀,并颌下部多发淋巴结肿大,临床2例患者血常规检查均提示嗜酸性粒细胞增多。结论木村病的影像表现有一定特征性,结合临床及实验室检查,有助于对该病的诊断。
Objective To investigate the clinical and imaging manifestations of Kimura disease in maxillofacial region and to improve the understanding of the disease and the diagnostic accuracy. Methods The clinical and imaging data of 2 cases of Kimura disease confirmed by surgery and pathology were collected. The related literatures were reviewed and their imaging features were analyzed. Results 2 cases of Kimura disease are located in the maxillofacial region, were found in multiple submandibular lymph nodes. 1 case of CT examination showed mainly in the left submandibular lymph node enlargement, 1 case of MRI examination found maxillofacial soft tissue thickening, swelling, and multiple submandibular lymph nodes, 2 cases of clinical blood tests showed eosinophilic Granulocytes increase. Conclusion Kimura disease has certain characteristics of the image, combined with clinical and laboratory tests, contribute to the diagnosis of the disease.