摘要
目的探讨64排螺旋CT在纵隔淋巴结结核与纵隔淋巴瘤中的鉴别价值。方法20例纵隔淋巴结结核和15例纵隔淋巴瘤患者均行全肺容积扫描，所有患者均强化分析病变区淋巴结特征及CT表现。结果纵隔淋巴结结核好发于10区、密度多不均匀、钙化多见、淋巴结融合少见、环状或不均匀强化、胸部原发灶等；纵隔淋巴瘤多好发于2R和3区，密度较均匀，钙化少见，淋巴结融合多见，多数普遍均匀强化，常见结外器官受累等。结论64排螺旋CT在纵隔淋巴结结核和纵隔淋巴瘤的细节显示上有明显优势。
Objective To study the value of 64 - slice spiral CT in differential diagnosis of mediasfinal tuberculous lymphadenitis and mediastinal lymphoma. Methods To perform the entire lung volume CT scanning on 20 patients of mediastinal tuberculous lymphadenitis and 15 patients of mediastinal lymphoma, and make a strengthening analysis of lymph node features and CT findings in the lesion area of all patients. Results Mediastinal tuberculous lymphadenitis is easily found in 10 area with uneven density, usually - occurred calcification, rare combination of lymph node, rim or uneven enhancement, and chest primary foci ; mediastinal lymphoma is frequently found in B 2 and 3 area with even density, rare calcification, combination of lymph enhancement and so on. usually - occurred node, commonly Conclusions 64 -slice spiral CT has an obvious advantage of detail display on multiple mediastinal tuberculous lymphadenitis and mediastinal lymphoma.
出处
《中国实用医刊》
2011年第11期8-10,共3页
Chinese Journal of Practical Medicine
关键词
纵隔淋巴结结核
纵隔淋巴瘤
鉴别诊断
Mediastinal tuberculous lymphadenitis
Mediastinal lymphoma
Differential diagnosis
