传染性单核细胞增生症颈部淋巴结病的超声表现

发布时间：2018-02-27 02:09

本文关键词： 传染性单核细胞增生症超声淋巴结病　出处：《中国医学科学院学报》2015年06期 　论文类型：期刊论文

【摘要】：目的分析传染性单核细胞增多症的颈部肿大淋巴结的灰阶和彩色多普勒超声特征。方法对30例传染性单核细胞增多症患者的59个增大淋巴结的声像图特征进行回顾性分析。超声评估包括形态、内部回声、淋巴门、边界、融合性生长、囊性变、钙化、血流分布模式。3例患者接受颈部淋巴结活检病理学分析。结果传染性单核细胞增多症颈部淋巴结多为类圆形(69.5%),双侧分布(96.7%),融合性生长(83.3%),甚至双侧融合性生长(66.6%),边界不清(79.7%),淋巴门消失(66.1%),皮质回声不均质(61.0%)。彩色或能量多普勒超声显示89.8%传染性单核细胞增多症颈部淋巴结可见中央门样血流。2例超声显示淋巴门结构消失的淋巴结活检病例,其病理显示正常的髓质结构消失,淋巴细胞和组织细胞增殖。淋巴门结构仍可显示的传染性单核细胞增多症淋巴结中,其淋巴门(85.0%)多表现为不均匀的低/等回声,且与皮质分界不清,1例组织学检查显示明显扩张的窦腔和组织细胞增殖。结论虽然传染性单核细胞增多症淋巴结和其他病因的肿大淋巴结的超声特征之间有相当大的重叠性,但综合超声分析仍然有助于鉴别诊断。
[Abstract]:Objective to analyze the gray scale and color Doppler ultrasound features of enlarged lymph nodes in the neck of patients with infectious mononucleosis. Methods the ultrasonographic features of 59 enlarged lymph nodes in 30 patients with infectious mononucleosis were analyzed. Analysis of care. Ultrasound assessment includes morphology, Internal echo, lymphatic hilum, boundary, fusion growth, cystic change, calcification, Results the cervical lymph nodes of infectious mononucleosis were mostly round 69.5%, with bilateral distribution of 96.7%. The fusion growth was 83.3%, and even the bilateral fusion growth was 66.6%. 79.7%, 66.1% of lymphatic hilum disappeared, 61.0% of cortical ectopic echo were found. Color or power Doppler ultrasound showed 89.8% cases of infectious mononucleosis, cervical lymph node showed central portal blood flow. 2 cases of lymph node biopsy showed disappearance of lymphatic hilum structure by ultrasound. The normal medullary structure disappeared, lymphocyte and histocyte proliferated. In the lymph nodes of infectious mononucleosis, the lymphoid hilar structure can still be displayed. And there was a significant overlap between the ultrasonic features of the lymph nodes of infectious mononucleosis and the enlarged lymph nodes of other etiology, and the histological examination of 1 case with unclear cortical boundary showed that the sinus cavity and histocyte proliferated obviously. However, comprehensive ultrasound analysis is still helpful in differential diagnosis.
【作者单位】：中国人民解放军总医院第一附属医院超声科;中国人民解放军总医院海南分院超声科;中国医学科学院北京协和医学院北京协和医院超声科;
【分类号】：R445.1;R512.7

【相似文献】