摘要
目的探讨CEUS诊断颈部淋巴结结核的表现及其价值。方法回顾性分析2016年3月—2019年3月本院收治的颈部淋巴结结核患者和转移性淋巴结患者共120例的临床资料,其中60例颈部淋巴结结核患者为结核组,60例转移性淋巴结患者为转移组,患者均经病理结果证实。比较两组超声造影(CEUS)成像结果,分析两组增强形态、增强边界及增强强度的区别,在不均匀增强淋巴结内的灌注不足区绘制TIC,比较TIC参数各项参数指标。结果结核组患者中,13.3%CEUS的表现为Ⅰ型,75.0%患者为Ⅲ型,显著高于转移组50.0%,结核组中11.7%为Ⅱ型,显著低于30.0%,差异均具有统计学意义(P<0.05)。结核组增强形态规则为58.3%,增强边界清楚为73.3%,极低增强为70.0%,均显著高于转移组的21.7%、40.0%、43.3%,差异具有统计学意义(P<0.05);结核组的AT、TTP参数依次为(6.65±1.67)s、(15.46±3.19)s,与转移组的(7.29±1.95)s、(16.21±3.32)s比较均无统计学意义(P>0.05),结核组的PI[(3.48±0.77)dB]、TPH[(18.53±3.86)s]均显著低于转移组[(6.12±1.45)dB]、[(23.74±4.67)s],但AR参数[(62.19±11.58)%]显著高于转移组[(48.37±9.57)%],差异均具有统计学意义(P<0.05)。结论CEUS能有效地诊断颈部淋巴结结核疾病,同时还可有效鉴别颈部淋巴结结核病及转移性颈淋巴结疾病。
Objective To investigate the CEUS examination findings of cervical lymph node tuberculosis and its clinical value.Methods Retrospectively analyzed the clinical data of 120 patients with cervical lymph node tuberculosis or metastatic lymph nodes those who treated in our hospital from March 2016 to March 2019.60 patients with cervical lymph node tuberculosis were selected as the tuberculosis group,another 60 patients with metastatic lymph nodes were selected as the metastasis group.All the subjects were confirmed by pathology.The findings of contrast-enhanced ultrasonography(CEUS)were compared between the two groups.The differences in enhancement configuration,enhancement boundary and enhancement intensity between the two groups were analyzed.The TIC was drawn in hypoperfusion area of heterogeneously enhanced lymph node.All TIC parameters indexes were compared.Results Among the patients in tuberculosis group,there were 13.3%of them with type Ⅰ CEUS manifestation.And 75.0%of them with type Ⅲ CEUS manifestation,which was significantly higher than that in metastasis group(50.0%).There were 11.7%of them with type II CEUS manifestation in tuberculosis group,which was significantly lower than that in metastasis group(30.0%)(P<0.05).There were 58.3%of them with regular enhancement configuration,73.3%of them with clear enhancement boundary,and 70.0%of them with extremely low enhancement in tuberculosis group,which were significantly higher than those in metastasis group(21.7%,40.0%,and 43.3%)(P<0.05).AT and TTP of the tuberculosis group were(6.65±1.67)s and(15.46±3.19)s,respectively,compared with metastasis group[(7.29±1.95)s and(16.21±3.32)s],there were no statistically significant(P>0.05).However,PI[(3.48±0.77)dB]and TPH[(18.53±3.86)s]of the tuberculosis group were significantly lower than those of the metastasis group[(6.12±1.45)dB,(23.74±4.67)s],while AR[(62.19±11.58)%]was significant higher than that of metastasis group[(48.37±9.57)%](P<0.05).Conclusions CEUS could effectively diagnose tuberculosis in ce
作者
李新涛
LI Xin-tao(Nanyang Oilfield General Hospital,Nanyang,Henan,473132,China)
出处
《齐齐哈尔医学院学报》
2019年第22期2824-2826,共3页
Journal of Qiqihar Medical University
关键词
颈部淋巴结结核
超声造影
诊断效能
Cervical lymph node tuberculosis
Contrast-enhanced ultrasonography
Diagnostic efficiency
