發(fā)布時間：2018-03-05 23:36

  本文選題：氣道內超聲　切入點：結節(jié)病　出處：《中國內鏡雜志》2017年08期 　論文類型：期刊論文

【摘要】：目的探討縱隔淋巴結結核與結節(jié)病的氣道內超聲特征,為縱隔淋巴結結核與結節(jié)病的鑒別診斷探索新的途徑。方法回顧性分析16例縱隔淋巴結結核和30例結節(jié)病患者共計74枚淋巴結的氣道內超聲影像,比較兩者在淋巴結大小、邊界、融合和回聲特點方面的差異。結果縱隔淋巴結結核長徑和短徑均小于結節(jié)病[(15.77±4.10)vs(19.76±5.83),t=3.28,P=0.021;(12.67±4.09)vs(16.81±5.54),t=3.56,P=0.001];縱隔淋巴結結核在邊界不清、融合、存在局部高回聲區(qū)及存在局部低/無回聲區(qū)的發(fā)生率上均明顯高于結節(jié)病[50.0%(11/22)vs 17.3%(9/52),χ~2=8.38,P=0.004;18.2%(4/22)vs 0.0%(0/52),P=0.008;50.0%(11/22)vs 0.0%(0/52),P=0.000;63.6%(14/22)vs 0.0%(0/52),P=0.000];而在淋巴門結構發(fā)生率上淋巴結結核和結節(jié)病無明顯差異[9.1%(2/22)vs 19.2%(10/52),P=0.491]。結論縱隔淋巴結的大小、邊界、融合、淋巴結內存在局部高回聲區(qū)及低/無回聲區(qū)等氣道內超聲特征有助于淋巴結結核與結節(jié)病的鑒別。
[Abstract]:Objective to investigate the characteristics of intraairway ultrasonography in mediastinal lymph node tuberculosis and sarcoidosis. To explore a new approach for differential diagnosis of mediastinal lymph node tuberculosis and sarcoidosis methods retrospective analysis of 16 cases of mediastinal lymph node tuberculosis and 30 cases of sarcoidosis of 74 lymph nodes in the airway ultrasound imaging, compared the size of the two lymph nodes. Results the length and short diameter of tuberculous mediastinal lymph nodes were smaller than that of sarcoidosis [15.77 鹵4.10V / s 19.76 鹵5.83V ~ (3.28) P ~ (0.021)] 12.67 鹵4.09 ~ (?) vs ~ (16.81 鹵5.54) ~ (3.56) P ~ (0.001); mediastinal lymph node tuberculosis was not clear and fused at the border. The incidence of local hyperechoic areas and local hypoechoic / non-echoic areas was significantly higher than that of sarcoidosis [50.050 / 22 vs 17.39 / 52, 蠂 ~ 28.38 P 0.004 18.222 vs 0.00 / 52P 0.00880.050 / 111122 vs 0.00 052P / P 0.00063.614 / 22 vs 0.00 52P / P 0.000], but there was no significant difference in the incidence of lymph node tuberculosis and disease in lymphatic portal structure [9.1P / P 22 vs 19.21052P 0.491] conclusion: mediastinal node size, lymph node size, lymph node size, lymph node size. The presence of local hyperechoic and low / non-echoic areas in the boundary, fusion and lymph nodes is helpful for the differential diagnosis of tuberculous lymph nodes from sarcoidosis.
【作者單位】： 蘇州大學附屬第一醫(yī)院呼吸與危重癥醫(yī)學科;
【基金】：國家臨床重點�？平ㄔO項目(No:2012) 江蘇省社會發(fā)展-臨床前沿技術(No:BE2016672)
【分類號】：R445.1;R564

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本文編號：1572420