血管滤泡性淋巴结增生症的超声表现  

Ultrasonic manifestations of angiofollicular lymph node hyperplasia

作　　者：李萍[1] 王正滨[1] 房世保[1] 赵诚[1] 牛晓燕[1] 

机构地区：[1]青岛大学医学院附属医院超声科,山东青岛266003

出　　处：《中国医学影像技术》2010年第3期511-513,共3页Chinese Journal of Medical Imaging Technology

摘　　要：目的探讨血管滤泡性淋巴结增生症(AFH)的超声表现。方法回顾性分析经手术病理证实的9例AFH患者的声像图特点及病理学特征。结果9例AFH均为透明血管型。超声表现为病灶包膜完整,形态规则,边界清晰,内部呈实性低回声,后方回声轻度增强,无囊变,与病理上该病较少发生出血坏死相对应。2例病灶内部伴有钙化。彩色多普勒显示9例病灶外周部均可探及血流信号,其中2例病灶内部可见丰富的血流信号。结论AFH的声像图具有一定的特征性,超声检查结合临床表现有助于与其他疾病相鉴别,确诊依靠病理活检。Objective To investigate the ultrasonographic characteristics of angiofollicular lymph node hyperplasia（AFH）.Methods The ultrasonographic and pathological characteristics in nine patients with pathologically confirmed AFH were retrospectively analyzed.Results All the 9 patients were hyaline vascular type of AFH.Ultrasonic manifestations included complete capsule,regular shape and clear boundary,internal solide low echo,mild posterior echo enhancement and without cystic degeneration,which was relative to the less incidence of necrosis and hemorrhage on pathologic findings.Calcification in the lesions were found in two patients.Color Doppler flow signals were observed in the periphery of lesions in 9 patients,and rich flow signals were observed in the center of lesions in 2 of them.Conclusion The ultrasonic manifestations of AFH has its own characteristics.The ultrasonic manifestations combined with clinical features are helpful to the differential diagnosis.The final diagnosis depends on pathologic examination.

关 键 词：超声检查 血管滤泡性淋巴结增生症 病理学 

分 类 号：R551.2[医药卫生—血液循环系统疾病] R445.1[医药卫生—内科学]