肿瘤影像学
腫瘤影像學
종류영상학
Oncoradiology
2015年
1期
44-47
,共4页
彩色多普勒超声%嗜酸性淋巴肉芽肿%嗜酸性粒细胞计数
綵色多普勒超聲%嗜痠性淋巴肉芽腫%嗜痠性粒細胞計數
채색다보륵초성%기산성림파육아종%기산성립세포계수
Color Doppler ultrasound%Eosinophilic lymphogranuloma%Eosinophil count
目的：探讨彩色多普勒超声在嗜酸性淋巴肉芽肿辅助诊疗中的价值。方法：回顾性分析经手术、病理证实的9例嗜酸性淋巴肉芽肿患者的临床特点、超声表现、实验室检查及治疗后的超声随访。结果：9例均表现为无痛性肿块，超声对肿块的检出率为100%。肿块呈椭圆形或不规则形，为低或混合回声，均可见血流信号。超声拟诊：淋巴结肿大5例、腮腺肿块3例、腮腺混合瘤1例。实验室检查显示6例嗜酸性粒细胞计数升高，7例嗜酸性粒细胞百分比升高。术后随访5例复发。结论：彩色多普勒超声对嗜酸性淋巴肉芽肿的肿块检出率高，在疗效评估及随访中起重要作用，能为临床医师提供有效的参考依据，但要作出准确诊断仍需结合临床特点及实验室检查。
目的：探討綵色多普勒超聲在嗜痠性淋巴肉芽腫輔助診療中的價值。方法：迴顧性分析經手術、病理證實的9例嗜痠性淋巴肉芽腫患者的臨床特點、超聲錶現、實驗室檢查及治療後的超聲隨訪。結果：9例均錶現為無痛性腫塊，超聲對腫塊的檢齣率為100%。腫塊呈橢圓形或不規則形，為低或混閤迴聲，均可見血流信號。超聲擬診：淋巴結腫大5例、腮腺腫塊3例、腮腺混閤瘤1例。實驗室檢查顯示6例嗜痠性粒細胞計數升高，7例嗜痠性粒細胞百分比升高。術後隨訪5例複髮。結論：綵色多普勒超聲對嗜痠性淋巴肉芽腫的腫塊檢齣率高，在療效評估及隨訪中起重要作用，能為臨床醫師提供有效的參攷依據，但要作齣準確診斷仍需結閤臨床特點及實驗室檢查。
목적：탐토채색다보륵초성재기산성림파육아종보조진료중적개치。방법：회고성분석경수술、병리증실적9례기산성림파육아종환자적림상특점、초성표현、실험실검사급치료후적초성수방。결과：9례균표현위무통성종괴，초성대종괴적검출솔위100%。종괴정타원형혹불규칙형，위저혹혼합회성，균가견혈류신호。초성의진：림파결종대5례、시선종괴3례、시선혼합류1례。실험실검사현시6례기산성립세포계수승고，7례기산성립세포백분비승고。술후수방5례복발。결론：채색다보륵초성대기산성림파육아종적종괴검출솔고，재료효평고급수방중기중요작용，능위림상의사제공유효적삼고의거，단요작출준학진단잉수결합림상특점급실험실검사。
Objective:To investigate the value of color Doppler ultrasound in the auxiliary diagnosis and treatment of eosinophilic lymphogranuloma. Methods:The clinical features, ultrasonography, laboratory examinations and ultrasound follow-up of 9 cases with eosinophilic lymphogranuloma conifrmed by operation and pathology were retrospectively analyzed. Results: All the cases showed painless masses. The mass detection rate by ultrasound was 100%. The lesions were oval or irregular in shape with hypoechoes or mixed echoes and visible blood lfow signals. Ultrasound proposed the following diagnosis:5 cases with enlarged lymph nodes, 3 with parotid masses, and 1 with parotid mixed tumor. Laboratory examinations showed that eosinophil count increased in 6 cases, and percentage of eosinophils increased in 7 cases. 5 cases had postoperative recurrence in the follow-up. Conclusion:The mass detection rate of ultrasound is very high in eosinophilic lymphogranuloma. It plays a great role in therapeutic evaluation and follow-up after treatment of eosinophilic lymphogranuloma, and can provide effective reference for clinicians. To make accurate diagnosis it still depends on clinical characteristics and laboratory examinations.
