CAJ | 학술논문

目的：探讨二维图像及彩色多普勒超声血管模式在颈部淋巴结结核诊断中的应用价值,为临床诊断提供参考。方法分析我院149例颈部淋巴结肿大患者,分析指标包括淋巴结的长径/短径、边界清楚与否、淋巴门有无、淋巴结的内部回声等,同时结合彩色多普勒超声淋巴结血管模式。结果79例经病理证实为淋巴结结核,55例经病理证实为良性淋巴结(其中淋巴结炎37例,反应性增生淋巴结18例),15例经病理证实为恶性淋巴结(其中淋巴瘤3例,转移性淋巴结12例),恶性肿大淋巴结长短径比<1.5,良性肿大淋巴结长短径比>2,结核性肿大淋巴结>1.5。结核性肿大淋巴结内部多见无回声区及钙化,77.2%的结核性肿大淋巴结可见边缘型或中央型血管模式,常出现无血供淋巴结。结论根据二维图像及血管模式特征,颈部淋巴结结核大多都能做出明确诊断。
목적：탐토이유도상급채색다보륵초성혈관모식재경부림파결결핵진단중적응용개치,위림상진단제공삼고。방법분석아원149례경부림파결종대환자,분석지표포괄림파결적장경/단경、변계청초여부、림파문유무、림파결적내부회성등,동시결합채색다보륵초성림파결혈관모식。결과79례경병리증실위림파결결핵,55례경병리증실위량성림파결(기중림파결염37례,반응성증생림파결18례),15례경병리증실위악성림파결(기중림파류3례,전이성림파결12례),악성종대림파결장단경비<1.5,량성종대림파결장단경비>2,결핵성종대림파결>1.5。결핵성종대림파결내부다견무회성구급개화,77.2%적결핵성종대림파결가견변연형혹중앙형혈관모식,상출현무혈공림파결。결론근거이유도상급혈관모식특정,경부림파결결핵대다도능주출명학진단。
Objective To explore the application value of color Doppler ultrasound in the diagnosis of cervi-cal tuberculous lymphadenitis. Methods The clinical data of 149 cervical lymph nodes were reviewed, including long diameter/short diameter, clear borderline or hilus of lymph nodes, and multiple lymph nodes interior ultrasound characters. Results 79 cases confirmed by pathology were scrofula, 55 cases confirmed by pathology were benignant ( 37 lymphadenitis and 18 reactive hyperplasia of lymph nodes) , and 15 cases confirmed by pathology were malignant (3 lymphomas and 12 lymph node metastasis). Central vessels or peripheral vessels were frequent in tuberculous nodes (77. 2%), and the significant characteristics was no blood supply lymph nodes. Conclusion Tuberculous lymphadenitis can be definitely diagnosed according to two dimension and vessel pattern characters.