원저

볼거리 의심환자의 초진에서 경부 초음파의 유용성

조우진1,*, 김형진1, 임도형1, 임현준1, 박하춘1
Woo-jin Cho1,*, Hyung-jin Kim1, Do-hyoung Lim1, Hyun-joon Lim1, Ha-choon Park1
Author Information & Copyright
1다인이비인후과병원 갑상선두경부초음파센터
1DAIN Ear Nose Throat Hospital, Thyroid, Head and Neck Ultrasound Center, Incheon, Korea
*교신저자: 조우진,310-110 인천광역시 부평구 산곡동 다인이비인후과병원 갑상선두경부초음파센터 전화: (032) 515-2325· 전송: (032) 515-2321 · E-mail: gogogeorge@gmail.com

© Copyright 2012 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Received: Jul 15, 2012; Revised: Aug 20, 2012; Accepted: Sep 05, 2012

Published Online: May 31, 2020

ABSTRACT

Objectives: To compare the accuracy of diagnosis in mumps patients between using salivary gland ultrasound (US) and physical examination (PE). Subjects and Methods: The medical records of 72 patients who suspicious for mumps at first medical examination [36 patients were performed with ultrasound (US), 36 patients without ultrasound (PE)] were reviewed. Results: There was no significant difference in sex ratio and mean age between US and PE. In US group, 6 patients were suspicious for other disease or normal gland by ultrasound. Among them, 1 patient of was diagnosed finally with mumps. Among another 30 patients who were suspicious for mumps, 28 patients was diagnosed with mumps (sensitivity 96.6%, specificity 71.4%, positive predictive value 93.3%, negative predictive value 83.3%, accuracy 91.7%). In PE group, 2 patients were suspicious for normal, but all of them finally was diagnosed with mumps finally. Among another 34 patients who were suspicious for mumps, 21 patients were diagnosed with mumps (sensitivity 58.3%, specificity 0%, positive predictive value 61.8%, negative predictive value 0%, accuracy 58.3%). There was a significant difference in sensitivity (p<0.05), specificity (p<0.05), positive predictive value (p<0.05), negative predictive value (p<0.05) and accuracy (p<0.05). All ultrasound was performed at the same day of initial visit. It takes 2.3 day to get the blood test result. Conclusions: Salivary gland ultrasound in the patients who were suspicious for mumps could be used for improving the accuracy of diagnosis in mumps patient at the first medical examination. (J Clinical Otolaryngol 2012;23:230–236)

Keywords: 경부 초음파; 볼거리; 침샘
Keywords: Ultrasound; Mumps; Diagnosis