本文選題：氣道內(nèi)超聲　切入點(diǎn)：結(jié)節(jié)病　出處：《中國(guó)內(nèi)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(jié)結(jié)核與結(jié)節(jié)病的氣道內(nèi)超聲特征,為縱隔淋巴結(jié)結(jié)核與結(jié)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(jié)結(jié)核和30例結(jié)節(jié)病患者共計(jì)74枚淋巴結(jié)的氣道內(nèi)超聲影像,比較兩者在淋巴結(jié)大小、邊界、融合和回聲特點(diǎn)方面的差異。結(jié)果縱隔淋巴結(jié)結(jié)核長(zhǎng)徑和短徑均小于結(jié)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(jié)結(jié)核在邊界不清、融合、存在局部高回聲區(qū)及存在局部低/無(wú)回聲區(qū)的發(fā)生率上均明顯高于結(jié)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(jié)構(gòu)發(fā)生率上淋巴結(jié)結(jié)核和結(jié)節(jié)病無(wú)明顯差異[9.1%(2/22)vs 19.2%(10/52),P=0.491]。結(jié)論縱隔淋巴結(jié)的大小、邊界、融合、淋巴結(jié)內(nèi)存在局部高回聲區(qū)及低/無(wú)回聲區(qū)等氣道內(nèi)超聲特征有助于淋巴結(jié)結(jié)核與結(jié)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(xué)附屬第一醫(yī)院呼吸與危重癥醫(yī)學(xué)科;
【基金】：國(guó)家臨床重點(diǎn)�？平ㄔO(shè)項(xiàng)目(No:2012) 江蘇省社會(huì)發(fā)展-臨床前沿技術(shù)(No:BE2016672)
【分類號(hào)】：R445.1;R564

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