Mumps の耳下腺唾影像
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概要
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Sialographic study of the parotid gland was carried out, during and after the attack of mumps, in order to get information on the changes in the gland and ducts which might be caused by the disease. Diagnosis of mumps was based on seroimmunological tests, such as complement fixation tests, hemagglutination inhibition tests and skin tests (with intracutaneous inoculation). Roentgenographic appearances of the parotid were classified according to Kitamuras method. Roentgenograms were taken in lateral projection, after 40% moljodol had been injected into the Stensens duct.The shadow of the ductal system of the diseased parotid showed little difference from trom the normal gland; there were no marked changes exceptefor a tendency to reduced ramification of the duct in the incipience.Sialograms of the gland itself varied with the stage of the disease. A shadow marked with small dapples intermingled with granule-shaped spots was seen at a stage soon after swelling had developed, with the caurse of the condition a shadow was seen to chauge to marked granuleshaped spots, intermingled with either ill-defined dots or traces of leak, at a stage soon after the swelling had reached the zenith. At stage soon after the swelling had subsided small dapples or dapples alone, or in combination with granule-shaped spots, dots or traces of leak appeared and its shadow was marked with dapples or large dapples 2 or 3 months after the attack of disease. The gland presented a nearly normal X-ray picture 6 months after the attack, indicating that a cure had been attained without any after-effects.
- 社団法人 日本耳鼻咽喉科学会の論文