气道内超声特征在纵隔淋巴结结核与结节病鉴别诊断中的作用

发布时间：2018-03-05 23:36

本文选题：气道内超声　切入点：结节病　出处：《中国内镜杂志》2017年08期 　论文类型：期刊论文

【摘要】：目的探讨纵隔淋巴结结核与结节病的气道内超声特征,为纵隔淋巴结结核与结节病的鉴别诊断探索新的途径。方法回顾性分析16例纵隔淋巴结结核和30例结节病患者共计74枚淋巴结的气道内超声影像,比较两者在淋巴结大小、边界、融合和回声特点方面的差异。结果纵隔淋巴结结核长径和短径均小于结节病[(15.77±4.10)vs(19.76±5.83),t=3.28,P=0.021;(12.67±4.09)vs(16.81±5.54),t=3.56,P=0.001];纵隔淋巴结结核在边界不清、融合、存在局部高回声区及存在局部低/无回声区的发生率上均明显高于结节病[50.0%(11/22)vs 17.3%(9/52),χ~2=8.38,P=0.004;18.2%(4/22)vs 0.0%(0/52),P=0.008;50.0%(11/22)vs 0.0%(0/52),P=0.000;63.6%(14/22)vs 0.0%(0/52),P=0.000];而在淋巴门结构发生率上淋巴结结核和结节病无明显差异[9.1%(2/22)vs 19.2%(10/52),P=0.491]。结论纵隔淋巴结的大小、边界、融合、淋巴结内存在局部高回声区及低/无回声区等气道内超声特征有助于淋巴结结核与结节病的鉴别。
[Abstract]:Objective to investigate the characteristics of intraairway ultrasonography in mediastinal lymph node tuberculosis and sarcoidosis. To explore a new approach for differential diagnosis of mediastinal lymph node tuberculosis and sarcoidosis methods retrospective analysis of 16 cases of mediastinal lymph node tuberculosis and 30 cases of sarcoidosis of 74 lymph nodes in the airway ultrasound imaging, compared the size of the two lymph nodes. Results the length and short diameter of tuberculous mediastinal lymph nodes were smaller than that of sarcoidosis [15.77 卤4.10V / s 19.76 卤5.83V ~ (3.28) P ~ (0.021)] 12.67 卤4.09 ~ (?) vs ~ (16.81 卤5.54) ~ (3.56) P ~ (0.001); mediastinal lymph node tuberculosis was not clear and fused at the border. The incidence of local hyperechoic areas and local hypoechoic / non-echoic areas was significantly higher than that of sarcoidosis [50.050 / 22 vs 17.39 / 52, 蠂 ~ 28.38 P 0.004 18.222 vs 0.00 / 52P 0.00880.050 / 111122 vs 0.00 052P / P 0.00063.614 / 22 vs 0.00 52P / P 0.000], but there was no significant difference in the incidence of lymph node tuberculosis and disease in lymphatic portal structure [9.1P / P 22 vs 19.21052P 0.491] conclusion: mediastinal node size, lymph node size, lymph node size, lymph node size. The presence of local hyperechoic and low / non-echoic areas in the boundary, fusion and lymph nodes is helpful for the differential diagnosis of tuberculous lymph nodes from sarcoidosis.
【作者单位】：苏州大学附属第一医院呼吸与危重症医学科;
【基金】：国家临床重点专科建设项目(No:2012) 江苏省社会发展-临床前沿技术(No:BE2016672)
【分类号】：R445.1;R564

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