淋巴结核患者的超声诊断研究

发布时间：2018-03-20 03:09

本文选题：淋巴结核　切入点：彩色多普勒超声　出处：《中华医院感染学杂志》2015年08期 　论文类型：期刊论文

【摘要】：目的了解淋巴结核患者颈部淋巴结核病灶的分布区域及构成比,分析颈部淋巴结核彩色多普勒超声声像特征,提高彩色多普勒超声诊断淋巴结核的水平。方法回顾性分析医院2011年5月-2014年5月经临床手术证实为颈部淋巴结核的64例患者临床资料,总结颈部淋巴结核病灶分布及构成比,以及其彩色多普勒超声声像图特征。结果 64例颈部淋巴结核患者中57例为单侧分布占89.1%,包括左颈28例和右颈29例;7例为双侧分布占10.9%;病灶分布于颌下区71个、锁骨上区39个和双侧乳突下28个,超声声像图显示病灶为散在、串珠样或融合成团,无规则,主要表现为低回声、无回声或混合回声,结节内血流信号减少。结论淋巴结核不同病理时期,其超声声像图随之改变,应对声像图特点、临床特点和病理分型进行综合分析,从而准确运用超声声像特征对颈部淋巴结核进行正确诊断。
[Abstract]:Objective to investigate the distribution and composition of cervical lymph node nuclei in patients with lymph node nucleus, and to analyze the color Doppler sonographic features of cervical lymph node nuclei. Methods the clinical data of 64 patients with cervical lymph node nucleus confirmed by clinical operation from May 2011 to 2014 were analyzed retrospectively, and the distribution and composition ratio of cervical lymph node nucleus were summarized. Results among 64 cases of cervical lymph node nucleus, 57 cases were unilateral distribution, including 28 cases with left neck and 7 cases with right neck, with bilateral distribution of 10.9% and 71 lesions in submaxillary region. There were 39 supraclavicular areas and 28 bilateral mastoid processes. Ultrasonic images showed that the lesions were scattered, beaded or fused into clusters, irregular, mainly hypoechoic, non-echoic or mixed echo. Conclusion Ultrasonography of lymph node nuclei changes in different pathological stages, which should be analyzed synthetically with the characteristics of sonogram, clinical features and pathological types. Thus the correct diagnosis of cervical lymph node nucleus was made by using ultrasonic imaging features.
【作者单位】：北京老年医院超声科;山东大学齐鲁医院超声科;
【基金】：山东省科学科研基金资助项目(2010BSE27089)
【分类号】：R522;R445.1

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