刘丽 李延萍 吴斌

    [摘要] 原发性干燥综合征(pSS)是一种临床常见的自身免疫性疾病，主要侵犯唾液腺和泪腺等外分泌腺体。目前常用的检查包括腮腺造影、腮腺核素显像、唇腺活检等。近年来涎腺超声(SGU)发展迅速，较传统的检查方法有着简便、经济、无创、易于操作和推广等优势，本文就SGU在pSS诊疗中的应用及研究进展进行综述。从pSS的SGU成像特征探讨其诊断价值;从SGU评分与临床症状、实验室指标的联系来分析预后;从治疗后唾液腺的回声改变分析SGU用于疗效监测和随访的可行性。

    [关键词] 干燥综合征;涎腺超声;诊断;疗效;随访

    [Abstract] Primary sjgren's syndrome(pSS) is a common autoimmune disease in clinic， which mainly invades salivary glands and lacrimal glands. At present， the commonly used examinations include parotid radiography， parotid radionuclide imaging， lip gland biopsy and so on. Salivary gland ultrasonography(SGU) has developed rapidly in recent years. Compared with traditional examination methods， SGU has the advantages of simplicity， economy， non-invasion， easy operation and wide popularization. This article reviews the application and research progress of SGU in diagnosis and treatment of pSS. The diagnostic value of pSS was discussed from its SGU imaging features. The prognosis was analyzed from the relationship between SGU score and clinical symptoms and laboratory indicators. The feasibility of SGU in curative effect monitoring and follow-up was analyzed from the echo changes of salivary glands after treatment. ......