摘要
目的总结颈部淋巴结核多模态超声特征,探讨多模态超声对颈部淋巴结核的诊断价值。方法选取我院就诊的颈部淋巴结肿大患者105例,根据病理结果分为结核组70例和非结核组35例,比较两组多模态超声表现,应用Logistic多元回归分析淋巴结核的相关因素。结果结核组中37例(52.9%)淋巴结边界清晰,53例(75.7%)淋巴门结构消失,54例(77.1%)应变式弹性成像评分<2分,42例(60.0%)弹性应变率比值<2,56例(80.0%)超声造影发现液化坏死,均高于非结核组,差异均有统计学意义(均P<0.05)。Logistic回归分析显示,超声造影发现液化坏死、淋巴结边界清晰及应变式弹性成像评分<2分是淋巴结核的独立影响因素。结论多模态超声检查有助于颈部淋巴结核的准确诊断;液化坏死、淋巴结边界清晰及应变式弹性成像评分<2分与颈淋巴结核相关。
ObjectiveTo summarize the multimode ultrasonography features of cervical lymphatic tuberculosis,and to explore its diagnostic value.MethodsAccording to the pathological results,105 patients with cervical lymphadenopathy were divided into tuberculosis group(70 cases)and non-tuberculosis group(35 cases).The performance of multimodal ultrasound was compared between the two groups.The influencing factors of lymphatic tuberculosis was analyzed by Logistic multivariate regression.ResultsIn the tuberculosis group,37 cases(52.9%)had clear lymph node boundary,53 cases(75.7%)had no hilar structure,54 cases(77.1%)had elastic strain imaging score<2,42 cases(60.0%)had elastic strain rate ratio<2,56 cases(80.0%)had liquefying necrosis by contrast-enhanced ultrasound,which was higher than that of the non-tuberculosis group(all P<0.05).Logistic multivariate regression analysis showed that liquefaction necrosis,clear boundary and elastography score<2 of lymph node were independent influencing factors of lymphatic tuberculosis.ConclusionMulti-mode ultrasound is helpful for the diagnosis of cervical lymphatic tuberculosis.Liquefaction necrosis,clear boundary and elastographic score are related to cervical lymphatic tuberculosis.
作者
阿瓦古丽·阿布都克热木
林昕
段晓玲
梁萍
郭倩如
热依汗古丽·吐尼亚孜
Awaguli Abudukeremu;LIN Xin;DUAN Xiaoling;LIANG Ping;GUO Qianru;Reyihan Tuniyazi(Department of Ultrasound,Chest Hospital of Xinjiang Uyghur Autonomous Region,Urumqi 830049,China)
出处
《临床超声医学杂志》
CSCD
2019年第12期909-912,共4页
Journal of Clinical Ultrasound in Medicine
基金
新疆维吾尔自治区胸科医院院级科研项目(2017003)
关键词
超声检查
多模态
病理
淋巴结
结核
Ultrasonography,multimodal
Pathology
Lymph node
Tuberculosis
