| 摘要: |
| 目的 探讨颈部淋巴结核多模态超声特征与病理基础相关性,分析多模态超声对颈部淋巴结核的诊断价值。方法 选取自2017年1月至2019年3月于我院就诊的颈部淋巴结肿大患者105例为研究对象,均行多模态超声检查以及病理检查。根据病理结果分为结核组和非结核组,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(52.86%)淋巴结边界清晰,53例(75.71%)淋巴门结构消失,54例(77.14%)弹性成像评分<2分,42例(60.00%)弹性应变率比值<2,56例(80.00%)超声造影发现液化坏死,均高于非结核组,差异均具有统计学意义(P<0.05)。Logistic多元回归分析显示,超声造影发现液化坏死、淋巴结边界清晰以及弹性成像评分<2分是淋巴结核的独立相关因素。结论 超声造影显示液化坏死、淋巴结边界清晰以及弹性成像评分<2分与颈部淋巴结核相关,综合上述多模态超声表现有助于颈部淋巴结核的诊断。 |
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| DOI： |
| 投稿时间：2019-04-04修订日期：2019-04-26 |
| 基金项目: |
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| Multimode ultrasonic manifestations and pathologic features of cervical lymph node tuberculosis |
| Awaguli Abudukeremu |
| (Department of Ultrasound,Uygur Autonomous Region Chest Hospital) |
| Abstract: |
| Objective: To investigate the correlation between multimode ultrasonography features and pathological basis of cervical lymph node tuberculosis. Methods: From January 2017 to March 2019, 105 patients in our hospital were selected. Multimode ultrasonography was performed before lymph node biopsy. According to the pathological results, the patients were divided into tuberculosis group and non-tuberculosis group. Multimode ultrasound findings were compared between the two groups. Logistic multivariate regression was used to analyze the related factors of lymph node tuberculosis. Results: 37 cases (52.86%) in tuberculosis group had clear lymph node boundary, 53 cases (75.71%) had disappeared echogenic hilus, 54 cases (77.14%) had elastography score <2, 42 cases (60.00%) had elastic strain ratio <2, 56 cases (80.00%) had liquefaction necrosis, which was significantly higher than that in non-tuberculosis group (P< 0.05).Logistic multivariate regression analysis showed that liquefaction necrosis, clear boundary of lymph node and elastography score < 2 were independent correlative factors of lymph node tuberculosis. Conclusion: Liquefied necrosis, clear boundary of lymph nodes and elastographic score < 2 are related to cervical lymph node tuberculosis. Multi-mode ultrasonographic findings is helpful for the diagnosis of cervical lymph node tuberculosis. |
| Key words: multimodal ultrasound pathology lymph node tuberculosis |
