CAJ | 학술논문

目的探讨颈部淋巴结核的二维图像特点、彩色血流特征及手术定位方法.方法回顾性分析110例经手术证实的颈部淋巴结核患者,从发病部位、二维图像及血流特点、与血管走行的关系进行描述,最后在体表进行手术定位.结果好发区域最多在颈外侧,沿大血管排列,其次为颌下及耳下淋巴结,再次为颈前纵行排列的淋巴结.病灶多累及多个解剖区域内淋巴结.同一患者,多个病灶可有不同二维及血流特征.病程不同,病灶内彩色血流明显不同.结论根据二维及血流特征,淋巴结核大多都能做出明确诊断,对少数特征不明显的可根据临床表现综合分析,需要手术切除的淋巴结,可提供与血管的关系及深度并定位,能够提高手术的安全性.
목적 탐토경부림파결핵적이유도상특점、채색혈류특정급수술정위방법.방법 회고성분석110례경수술증실적경부림파결핵환자,종발병부위、이유도상급혈류특점、여혈관주행적관계진행묘술,최후재체표진행수술정위.결과 호발구역최다재경외측,연대혈관배렬,기차위합하급이하림파결,재차위경전종행배렬적림파결.병조다루급다개해부구역내림파결.동일환자,다개병조가유불동이유급혈류특정.병정불동,병조내채색혈류명현불동.결론 근거이유급혈류특정,림파결핵대다도능주출명학진단,대소수특정불명현적가근거림상표현종합분석,수요수술절제적림파결,가제공여혈관적관계급심도병정위,능구제고수술적안전성.
Objective To explore the two-dimensional images features and color flow characteristics of scrofula, as well as their application in the localization of scrofula. Methods A total of 110 cases of the scrofula confirmed by operation were retrospectively analyzed. Two-dimensional images and color flow characteristics, the relationship with vascular traveling and the invasion site were recorded. Results Lymph nodes of the lateral neck region along with large vessels were most commonly involved, then followed the submaxillary lymph nodes and the lymph nodes anterior neck longitudinally. There might be multiple lesions behaving differently on two-dimensional images and with different color flow characteristics. Conclusion Most of scrofula can be diagnosed clearly according to the two-dimensional images and color flow characteristics. The description of relationship between involved lymph nodes with vascular, the depth and position of scrofula make the operation safety.