中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2011年
4期
32-33
,共2页
颈部淋巴结肿大%高频彩超%淋巴结核%恶性淋巴瘤
頸部淋巴結腫大%高頻綵超%淋巴結覈%噁性淋巴瘤
경부림파결종대%고빈채초%림파결핵%악성림파류
Cervical lymph nodes enlargement%High frequency ultrasound%Lymphatic tuberculosis%Malignant lymphoma
目的 总结高频彩超检查在颈部淋巴结定性诊断中的临床意义.方法 对390例彩超检查结果与细胞学、病理学诊断进行对照,比较正常、良性、恶性淋巴结的高频彩超特点.结果 肿大淋巴结和正常淋巴结的形态、结构方面存在很大差异,不同性质的淋巴结纵横径比值差异均有统计学意义(P<0.05).反应性淋巴结和结核性肿大淋巴结内髓质增宽、回声增强,皮质变窄,恶性肿大淋巴结内髓质变薄受压偏心,皮质增厚,回声低弱不均匀.反应性淋巴结和结核性肿大淋巴结内血流丰富、呈树枝状分布规则; 而恶性肿大淋巴结内血流呈不规则紊乱的血流信号.结论 高频彩超对及时发现颈部肿大的淋巴结,正确区分病变的性质具有重要临床意义.
目的 總結高頻綵超檢查在頸部淋巴結定性診斷中的臨床意義.方法 對390例綵超檢查結果與細胞學、病理學診斷進行對照,比較正常、良性、噁性淋巴結的高頻綵超特點.結果 腫大淋巴結和正常淋巴結的形態、結構方麵存在很大差異,不同性質的淋巴結縱橫徑比值差異均有統計學意義(P<0.05).反應性淋巴結和結覈性腫大淋巴結內髓質增寬、迴聲增彊,皮質變窄,噁性腫大淋巴結內髓質變薄受壓偏心,皮質增厚,迴聲低弱不均勻.反應性淋巴結和結覈性腫大淋巴結內血流豐富、呈樹枝狀分佈規則; 而噁性腫大淋巴結內血流呈不規則紊亂的血流信號.結論 高頻綵超對及時髮現頸部腫大的淋巴結,正確區分病變的性質具有重要臨床意義.
목적 총결고빈채초검사재경부림파결정성진단중적림상의의.방법 대390례채초검사결과여세포학、병이학진단진행대조,비교정상、량성、악성림파결적고빈채초특점.결과 종대림파결화정상림파결적형태、결구방면존재흔대차이,불동성질적림파결종횡경비치차이균유통계학의의(P<0.05).반응성림파결화결핵성종대림파결내수질증관、회성증강,피질변착,악성종대림파결내수질변박수압편심,피질증후,회성저약불균균.반응성림파결화결핵성종대림파결내혈류봉부、정수지상분포규칙; 이악성종대림파결내혈류정불규칙문란적혈류신호.결론 고빈채초대급시발현경부종대적림파결,정학구분병변적성질구유중요림상의의.
Objective To summarize the clinical significance of high-frequency color doppler ultrasound in the diagnosis of cervical lymph node enlargement. Methods The features of the normal,benign and malignant lymph nodes were studied by high frequency ultrasound imaging. Results There were differences in morphology and structure between the swollen lymph nodes and normal lymph nodes.The quotas of the L/S ratio in lymph nodes with different properties were significantly different(P<0.05).Interios echo of reactive hyperplastic lymphadenitis and tuberculous enlargement of neck lymph nodes displayed wide and brighter medulla and narrow cortices,but the malignant enlargement of lymph nodes were on the contrary.CDFI Showed the blood flow of the most benign enlargement of lymph nodes were more abundant and regular,and the blood flow of most malignant lymph nodes were disorder and irregular.Conclusions High frequency ultrasound examination was valuable for diagosis of neck lymph nodes,especially in indentifying benign or malignant lymph nodes enlargement.
