CAJ | 학술논문

目的研究肠系膜淋巴结结核与非何杰金氏淋巴瘤累及肠系膜淋巴结的CT诊断和鉴别诊断价值. 方法收集经证实的25例肠系膜淋巴结结核和36例累及肠系膜的非何杰金氏淋巴瘤病例的临床资料和CT资料. 观察肠系膜淋巴结的大小、形态、密度、强化特点和解剖分布情况. 结果肠系膜根部和面部淋巴结增大并呈均匀强化多见于非何杰金氏淋巴瘤( P<0.01);增大淋巴结呈混合型强化者多见于结核累及肠系膜面部淋巴结(P<0.01);肠系膜根部和面部淋巴结增大、环状强化者多见于肠系膜淋巴结结核(P<0.05);肠系膜根部"三明治征"多见于非何杰金氏淋巴瘤侵犯(P<0.01). 结论 CT可良好显示结核和非何杰金氏淋巴瘤累及肠系膜淋巴结. 依据肠系膜增大淋巴结的分布区域、淋巴结CT强化特点和"三明治征"的显示情况,CT可对二者做出诊断和鉴别诊断.
목적 연구장계막림파결결핵여비하걸금씨림파류루급장계막림파결적CT진단화감별진단개치. 방법 수집경증실적25례장계막림파결결핵화36례루급장계막적비하걸금씨림파류병례적림상자료화CT자료. 관찰장계막림파결적대소、형태、밀도、강화특점화해부분포정황. 결과 장계막근부화면부림파결증대병정균균강화다견우비하걸금씨림파류( P<0.01);증대림파결정혼합형강화자다견우결핵루급장계막면부림파결(P<0.01);장계막근부화면부림파결증대、배상강화자다견우장계막림파결결핵(P<0.05);장계막근부"삼명치정"다견우비하걸금씨림파류침범(P<0.01). 결론 CT가량호현시결핵화비하걸금씨림파류루급장계막림파결. 의거장계막증대림파결적분포구역、림파결CT강화특점화"삼명치정"적현시정황,CT가대이자주출진단화감별진단.
Objective To evaluate the computed tomography ( CT) value of differentiating the mesenteric lymphadenopathy in patients with tuberculosis and the non-Hodgkin's lymphomas(NHL).Methods The CT images of 25 patients with mesenteric tuberculosis and 36 patients with untreated NHL were reviewed retrospectively .Great atten-tion was pay to the location and contrast-enhanced appearances of the mesenteric lymphadenopathy .Results The en-larged mesenteric lymph nodes with homogeneous enhancement were more often detected in the patients with NHL ( P<0.01).However homogeneous mixed with peripheral enhanced lymph nodes in the body of mesentery were more often shown in the patients with in mesenteric tuberculosis ( P<0 .01 ) .The enlarged mesenteric lymph nodes with peripheral enhancement were more often detected in the patients with tuberculosis (P<0.05)."Sandwich sign"in the mesentericroot was more often in patients with NHL (P<0.01).Conclusions Our findings indicate that the anatomic location of the mesenteric lymph nodes ,contrast-enhanced appearances of mesenteric lymphadenopathy and the mesenteric "sand-wich sign"on CT images can be useful in differentiating between tuberculosis and NHL involving the mesenteric lymph nodes.