腋窝淋巴结结核超声造影的初步研究  

Contrast-enhanced Ultrasound for Research on Tuberculosis of Axillary Lymph Node

作　　者：王大力[1] 杨高怡[1] 邵亚勤[1] 张文智[1] 

机构地区：[1]浙江省中西医结合医院超声科,杭州310003

出　　处：《医学研究杂志》2013年第5期187-189,共3页Journal of Medical Research

摘　　要：目的探讨腋窝淋巴结结核的超声造影表现特征。方法观察27例腋窝淋巴结的超声造影特点。结果超声造影诊断腋窝淋巴结结核的敏感度、特异性分别为92.6%、78.2%,常规超声为74.5%、65.2%。超声造影主要表现为3种情况,Ⅰ型(均匀增强型):病灶内的所有区域均匀弥漫增强;Ⅱ型(不均匀增强型):病灶内各增强区分布不均一,强度不一致;Ⅲ型(无增强型):病灶未见明显灌注与造影前基本相同。结论超声造影能够提高腋窝淋巴结结核诊断的准确性,为临床的治疗方案提供可靠依据。Objective To explore the characteristics of tuberculosis of axillary lymph node with contrast - enhanced uhrasound. Methods Twenty - seven patients with tuberculosis of axillary lymph node were studied with contrast - enhanced ultrasound. The enhancement of echogenicity was evaluated. Results The sensitivity and specificity were 92.6% ,78.2% by contrast - enhanced ultrasound, and were 74.5% ,65.2% by conventional ultrasound in the diagnosis of tuberculosis of axillary lymph node. Contrast - enhanced ultrasound mainly demonstrated three cases. The type of homogeneous enhancement presented homogeneous enhancement of all area, The type of uneven enhancement had distributed and reflected the different intensity in the all area, and the type of no enhancement showed anechoic perfusiou and the same performance compared with before. Conclusion The technology of CEUS can improve the diagnostic accuracy and provide the reliable basis for clinical diagnosis.

关 键 词：超声造影 腋窝淋巴结 结核 

分 类 号：R725.22[医药卫生—儿科]