二维超声超声联合弹性成像在浅表淋巴结疾病诊断中的应用  

Diagnosis of Superficial Lymph Nodes Disease by Two-dimensional Ultrasonography Combined with Ultrasonic Elastography

作　　者：吴瑞明[1] 杨舒萍[1] 吕国荣 沈浩霖[1] 蔡晓菡[1] WU Ruiming YANG Shuping LV Guorong SHEN Haolin CAI Xiaohan(Department of Ultrasound, Zhangzhou Hospital Affiliated to Fujian Medical University, Zhangzhou 363000, Chin)

机构地区：[1]福建医科大学附属漳州市医院超声科,福建漳州363000 [2]泉州医学高等专科学校,福建泉州362000

出　　处：《中国医学影像学杂志》2017年第2期109-111,共3页Chinese Journal of Medical Imaging

摘　　要：目的二维超声(US)联合超声弹性成像(UE)在诊断浅表淋巴结疾病的应用研究较少,本文拟探讨US联合UE在浅表淋巴结疾病诊断中的应用价值。资料与方法回顾性分析214例患者浅表淋巴结(266枚)的影像学资料,并分析US检查评分、UE分级与术后病理结果。结果反应性增生淋巴结和淋巴瘤性淋巴结弹性分级以≤III级为主,而恶性肿瘤转移性淋巴结的弹性分级以≥IV级为主。UE和US+UE对反应性淋巴结与转移性淋巴结的良恶性判断准确度较高。US+UE对恶性浅表淋巴结诊断的敏感度(90.13%)和准确度(86.09%)优于US(敏感度:72.37%;准确度:68.05%)和UE(敏感度:77.63%;准确度:72.56%),差异有统计学意义(P<0.05)。结论 US+UE可提高良恶性浅表淋巴结的诊断和鉴别诊断水平。Purpose It is still undetermined about the application of regular ultrasound（US） combined with ultrasonic elastography（UE） in diagnosing superficial lymph nodes disease. Therefore our aim is to evaluate the value of US combined with UE in diagnosing superficial lymph nodes disease. Materials and Methods The ultrasonography and pathological data of 214 patients（with 266 superficial lymph nodes） were analyzed retrospectively. The US and UE data were compared with the pathologic results. Results The elastic classification of reactive hyperplastic and lymphomatous lymph nodes were no greater than grade 3, respectively; that of malignant metastatic lymph nodes was greater than grade 4. The accuracy of UE or US＋UE was higher in diagnosing reactive hyperplastic lymph nodes and metastatic lymph nodes＇ nature compared with US（P〈0.05）. The sensitivity and accuracy of US＋UE in diagnosing malignant superficial lymph nodes were higher than those of US（90.13% vs. 72.37%; 86.09% vs. 68.05%, P〈0.05）. Compared with UE alone, those of US＋UE were also higher（90.13% vs. 77.63%; 86.09% vs. 72.56%, P〈0.05）. Conclusion The accuracy of differential diagnosis of benign or malignant superficial lymph nodes can be improved by US＋UE method.

关 键 词：淋巴结炎 淋巴瘤 淋巴转移 超声检查 弹性成像技术 诊断 鉴别 

分 类 号：R733.4[医药卫生—肿瘤] R445.1[医药卫生—临床医学]