CAJ | 학술논문

目的：了解淋巴结核患者颈部淋巴结核病灶的分布区域及构成比，分析颈部淋巴结核彩色多普勒超声声像特征，提高彩色多普勒超声诊断淋巴结核的水平。方法回顾性分析医院2011年5月－2014年5月经临床手术证实为颈部淋巴结核的64例患者临床资料，总结颈部淋巴结核病灶分布及构成比，以及其彩色多普勒超声声像图特征。结果64例颈部淋巴结核患者中57例为单侧分布占89．1％，包括左颈28例和右颈29例；7例为双侧分布占10．9％；病灶分布于颌下区71个、锁骨上区39个和双侧乳突下28个，超声声像图显示病灶为散在、串珠样或融合成团，无规则，主要表现为低回声、无回声或混合回声，结节内血流信号减少。结论淋巴结核不同病理时期，其超声声像图随之改变，应对声像图特点、临床特点和病理分型进行综合分析，从而准确运用超声声像特征对颈部淋巴结核进行正确诊断。
목적：료해림파결핵환자경부림파결핵병조적분포구역급구성비，분석경부림파결핵채색다보륵초성성상특정，제고채색다보륵초성진단림파결핵적수평。방법회고성분석의원2011년5월－2014년5월경림상수술증실위경부림파결핵적64례환자림상자료，총결경부림파결핵병조분포급구성비，이급기채색다보륵초성성상도특정。결과64례경부림파결핵환자중57례위단측분포점89．1％，포괄좌경28례화우경29례；7례위쌍측분포점10．9％；병조분포우합하구71개、쇄골상구39개화쌍측유돌하28개，초성성상도현시병조위산재、천주양혹융합성단，무규칙，주요표현위저회성、무회성혹혼합회성，결절내혈류신호감소。결론림파결핵불동병리시기，기초성성상도수지개변，응대성상도특점、림상특점화병리분형진행종합분석，종이준학운용초성성상특정대경부림파결핵진행정학진단。
OBJECTIVE To understand distributional regions and constituent ratios of neck scrofula lesions and ob‐serve the characteristics of color Doppler ultrasonography for the neck scrofula so as to improve the level of color Doppler ultrasonography in diagnosis of scrofula .METHODS From May 2011 to May 2014 ,the clinical data of 64 patients with confirmed neck scrofula were retrospectively analyzed ,the distributional regions and constituent rati‐os of the neck scrofula were observed ,and the characteristics of the color Doppler ultrasonographic images were analyzed .RESULTS Of the 64 patients with neck scrofula ,57 (89 .1% ) had the unilateral distribution ,including 28 cases of left neck distribution and 29 cases of right neck distribution ,and 7 (10 .9% ) had the bilateral distribu‐tion .There were 71 lesions in submandibular area ,39 lesions in supraclavicular area ,and 28 lesions in lower bilat‐eral mastoid .The ultrasound images showed that the lesions were scattered ,beaded ,confertus ,and irregular ;the major finding include the low echo , no echo , mixed echo , and decreased blood flow signals in nodules . CONCLUSION The ultrasound images change with the pathological periods of scrofula .It is an effective to conduct comprehensive analysis of the characteristics of the ultrasound images ,clinical characteristics ,and pathological typing so as to make an accurate diagnosis of the neck scrofula .