摘要
目的:探讨超声对颈部肿大淋巴结良、恶性的鉴别诊断及治疗指导价值。方法 :选取73例颈部肿大淋巴结患者为观察对象,回顾性分析其淋巴结病理学确诊前后的B超声像图特征,记录相关指标。对确诊为恶性病变的患者伴随治疗进行监测及随访,记录淋巴结变化情况。结果:良性淋巴结病变12例,恶性淋巴瘤7例,恶性肿瘤淋巴结转移54例。不同性质的淋巴结病变超声特征各不相同,其中淋巴结形态、直径、皮髓质分界情况、血流分布特点是鉴别其性质的要点。对于恶性肿瘤淋巴结转移或恶性淋巴瘤患者,颈部淋巴结变化情况也是治疗后随访过程中对肿瘤活动情况的简便、直观、早期的重要观察指标。结论:超声检查对颈部肿大淋巴结性质的鉴别及诊断具有简便、无创、高效、经济的特点,对进一步确诊有重要的指导意义,同时也是恶性颈部淋巴结病变患者治疗随访的良好监测手段,可作为颈部淋巴结的常规检查。
Objective： To explore the value of uhrasonography in differentiating malignant and benign cervical lymph nodes and guiding therapy. Methods： Seventy-three cases with cervical lymph nodes were retrospectively reviewed with ultrasonic images before and after pathological diagnosis. Follow-up of lymph node changes was performed on malignant cases. Results： Among all the patients, twelve cases were benign, seven cases were lymphoma and 54 cases were metastases. Among diverse imaging characteristics, some differentiation features included lymph node morphology, diameter, corticomedullary boundary and blood flow distribution. For lymph node metastasis and lymphoma, the changes of cervical lymph nodes during follow-up studies were easy and important observation indexes. Conclusion： Ultrasonography plays a simple, noninvasive, high efficient and economic role in diagnosis and differential diagnosis of cervical lymph nodes. It is also a good monitoring method for follow-up in patients with malignant cervical lymph nodes. Uhrasonography can be used as a routine examination method for cervical lymph nodes.
出处
《中国临床医学影像杂志》
CAS
北大核心
2017年第1期12-14,共3页
Journal of China Clinic Medical Imaging
关键词
淋巴结
颈
超声检查
多普勒
彩色
诊断
鉴别
Lymphnodes
Neck
Ultrasonography, Doppler, color
Diagnosis, differential
