| 摘要: |
| 目的 探讨常规经胸超声检查在纵隔淋巴瘤诊断中的应用价值。方法 回顾性分析临床确诊的纵隔淋巴瘤患者超声图像特征,观察病灶位置、内部回声特点及周围淋巴结情况,统计分析超声诊断纵隔淋巴瘤的真实性和一致性。结果 55例纵隔淋巴瘤患者,平均年龄27.5岁。大部分纵隔淋巴瘤的声像图表现为前上纵隔实性包块,包块内部可见结节状低回声和/或网状稍强回声,肿块周围或全身其他部位可见淋巴结肿大。根据超声声像图特征诊断纵隔淋巴瘤的灵敏度为85.45(%),特异度为85.45(%),约登指数为0.79,不同医生间诊断的一致率为80.61%,Kappa值为0.612。 |
| 关键词: 纵隔肿瘤 淋巴瘤 超声 |
| DOI： |
| 投稿时间：2017-01-27修订日期：2017-02-21 |
| 基金项目: |
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| Clinical value of transthoracic ultrasonography in the diagnosis of mediastinal lymphoma |
| yangruijing,杨一林 |
| () |
| Abstract: |
| Objective: To explore the value of routinetransthoracicultrasonography in the diagnosis of mediastinal lymphoma. Methods: The ultrasonographic features of patients with mediastinal lymphoma confirmed by pathology were analyzed retrospectively. The location of lesions, the characteristics of internal echo and the peripheral lymph nodes were observed. The accuracy of ultrasound imaging in diagnosis of mediastinal lymphoma was statistically analyzed. Results: 55 cases of mediastinal lymphoma, with an average age of 27.5 years old. Ultrasonography showed solid mass for all, mass with internal hypoechoic nodules and / or reticular stronger echo accounted for 85.5%; enlarged lymph nodes in around or other parts of the body accounted for 78.2%; 90% of the lesions can be detected bilaterally in the sternum. According to sonographic features, the sensitivity of the diagnosis for mediastinal lymphoma was 85.45 (%) and the specificity was 85.45 (%).The Youden index was 0.79. The consistent rate from different operators was 80.61% and the Kappa value was 0.612. Conclusion: The sonographic findings of mediastinal lymphoma have some characteristics, and the conventional transthoracic echocardiography can be used as an important means for the diagnosis of mediastinal lymphoma. |
| Key words: mediastinal tumor lymphadenoma ultrasound |
