超声对颈部淋巴结性质鉴别及治疗价值的观察

发布时间：2018-01-06 00:03

本文关键词：超声对颈部淋巴结性质鉴别及治疗价值的观察　出处：《中国临床医学影像杂志》2017年01期 　论文类型：期刊论文

【摘要】：目的:探讨超声对颈部肿大淋巴结良、恶性的鉴别诊断及治疗指导价值。方法 :选取73例颈部肿大淋巴结患者为观察对象,回顾性分析其淋巴结病理学确诊前后的B超声像图特征,记录相关指标。对确诊为恶性病变的患者伴随治疗进行监测及随访,记录淋巴结变化情况。结果:良性淋巴结病变12例,恶性淋巴瘤7例,恶性肿瘤淋巴结转移54例。不同性质的淋巴结病变超声特征各不相同,其中淋巴结形态、直径、皮髓质分界情况、血流分布特点是鉴别其性质的要点。对于恶性肿瘤淋巴结转移或恶性淋巴瘤患者,颈部淋巴结变化情况也是治疗后随访过程中对肿瘤活动情况的简便、直观、早期的重要观察指标。结论:超声检查对颈部肿大淋巴结性质的鉴别及诊断具有简便、无创、高效、经济的特点,对进一步确诊有重要的指导意义,同时也是恶性颈部淋巴结病变患者治疗随访的良好监测手段,可作为颈部淋巴结的常规检查。
[Abstract]:Objective: to explore the value of ultrasound in differential diagnosis and treatment of benign and malignant cervical enlarged lymph nodes. The ultrasonographic features of B-ultrasonography before and after the diagnosis of lymph node pathology were analyzed retrospectively, and the relevant indexes were recorded. The patients with malignant lesions were monitored and followed up. Results: there were 12 cases of benign lymphadenopathy, 7 cases of malignant lymphoma and 54 cases of malignant lymph node metastasis. Among them, the shape, diameter, dermatomedullary boundary and blood flow distribution of lymph nodes are the key points to distinguish their nature, in patients with malignant lymph node metastasis or malignant lymphoma. The change of cervical lymph nodes is also a simple and intuitive way to observe tumor activity during follow-up after treatment. Conclusion: ultrasonic examination is simple, non-invasive, efficient and economical in the differential diagnosis of cervical enlarged lymph nodes, and has important guiding significance for further diagnosis. It is also a good monitoring method for patients with malignant cervical lymphadenopathy and can be used as routine examination of cervical lymph nodes.
【作者单位】：青岛市商业职工医院;
【分类号】：R730.4;R445.1
【正文快照】： 颈部淋巴结肿大为临床常见体征,对于初诊时如何进行淋巴结性质的鉴别诊断以及如何进一步检查都是临床工作中经常面对的问题。而患者一旦确诊颈部淋巴结性质为恶性后,选择怎样的检查方法进行病情监测和随访也是肿瘤治疗过程中非常重要的环节。超声检查以其简便快捷、无创可靠、

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