中外医疗
中外醫療
중외의료
China Foreign Medical Treatment
2015年
28期
62-63,71
,共3页
浅表淋巴结肿大%淋巴瘤%病因分析%首发表现
淺錶淋巴結腫大%淋巴瘤%病因分析%首髮錶現
천표림파결종대%림파류%병인분석%수발표현
Superficial lymph node enlargement%Lymphoma%Etiological analysis%First manifestation
目的 分析总结浅表淋巴结肿大的主要病因. 方法 整群选择该院于2011年1月—2015年4月期间收治的以浅表淋巴结肿大为首发表现的82例住院患者作为研究对象,收集组织病理检查、免疫组化检查等检查结果,对浅表淋巴结肿大进行病因分析. 结果 该组82例患者中,良性肿大者26例(31.70%),恶性肿大者56例(68.29%),恶性肿大发生率高于良性.良性肿大者中,感染为主要病因,其百分比显著高于其他病因,差异有统计学意义(P<0.05). 恶性肿大者中,非霍奇金淋巴瘤百分比最高,显著高于其他病因,差异有统计学意义(P<0.05);白血病百分比次之,与其他病因相比,差异有统计学意义(P<0.05). 结论 病程大于2周的浅表淋巴结肿大以恶性肿大为主,其中感染、非霍奇金淋巴瘤、白血病均为浅表淋巴结肿大的主要病因,提示临床诊断时,应结合实验室检查、组织病理检查等辅助手段,综合分析确定病因.
目的 分析總結淺錶淋巴結腫大的主要病因. 方法 整群選擇該院于2011年1月—2015年4月期間收治的以淺錶淋巴結腫大為首髮錶現的82例住院患者作為研究對象,收集組織病理檢查、免疫組化檢查等檢查結果,對淺錶淋巴結腫大進行病因分析. 結果 該組82例患者中,良性腫大者26例(31.70%),噁性腫大者56例(68.29%),噁性腫大髮生率高于良性.良性腫大者中,感染為主要病因,其百分比顯著高于其他病因,差異有統計學意義(P<0.05). 噁性腫大者中,非霍奇金淋巴瘤百分比最高,顯著高于其他病因,差異有統計學意義(P<0.05);白血病百分比次之,與其他病因相比,差異有統計學意義(P<0.05). 結論 病程大于2週的淺錶淋巴結腫大以噁性腫大為主,其中感染、非霍奇金淋巴瘤、白血病均為淺錶淋巴結腫大的主要病因,提示臨床診斷時,應結閤實驗室檢查、組織病理檢查等輔助手段,綜閤分析確定病因.
목적 분석총결천표림파결종대적주요병인. 방법 정군선택해원우2011년1월—2015년4월기간수치적이천표림파결종대위수발표현적82례주원환자작위연구대상,수집조직병리검사、면역조화검사등검사결과,대천표림파결종대진행병인분석. 결과 해조82례환자중,량성종대자26례(31.70%),악성종대자56례(68.29%),악성종대발생솔고우량성.량성종대자중,감염위주요병인,기백분비현저고우기타병인,차이유통계학의의(P<0.05). 악성종대자중,비곽기금림파류백분비최고,현저고우기타병인,차이유통계학의의(P<0.05);백혈병백분비차지,여기타병인상비,차이유통계학의의(P<0.05). 결론 병정대우2주적천표림파결종대이악성종대위주,기중감염、비곽기금림파류、백혈병균위천표림파결종대적주요병인,제시림상진단시,응결합실험실검사、조직병리검사등보조수단,종합분석학정병인.
Objective To analyze the main causes of superficial lymph nodes (SLN) enlargement. Methods 82 inpatients with superficial lymph nodes enlargement as the primary manifestation admitted to this hospital between January 2011 and April 2014 were included in this study. The causes of this disease were analyzed according to the results of pathological examination and immunohistochemical examinations. Results Of all the 82 cases, 26 (31.70%) were found with benign SLN enlargement and 56 (68.29%)with malignant one, and the incidence of malignant SLN enlargement was higher. Infection was the main cause of benign SLN accounting for a higher percentage than other cause, P<0.05. Malignant SLN enlargement was mainly caused by non-Hodgkin's lymphoma with obviously higher percentage that other cause, P<0.05; leukemia was the cause of SLN enlargement with percentage higher the remainder causes, P<0.05. Conclusion Malignant enlargement is the main type of SLN enlargement with course of more than 2 weeks, and the main causes of SLN enlargement include infection, non-Hodgkin's lymphoma and leukemia. The results suggest that the clinical diagnosis should be combined with the laboratory examination and pathologic examination and other auxiliary means so as to comprehensively analyze the cause.
