浅表结内淋巴瘤高频超声声像图特征分析  

Analysis of the characteristics of high-frequency ultrasonography of superficial intranodal lymphoma

作　　者：王新方[1] 宋雨[1] 李亚洲[1] 张毓[1] 洪练青[2] 刘绍玲[3] WANG Xinfang;SONG Yu;LI Yazhou;ZHANG Yu;HONG Lianqing;LIU Shaoling(Ultrasound Department of Nanjing Integrated Traditional Chinese and Western Medicine Hospital Affiliated with Nanjing University of Chinese Medicine, Nanjing 210014, P.R.China;Pathology Department of Nanjing Integrated Traditional Chinese and Western Medicine Hospital Affiliated with Nanjing University of Chinese Medicine, Nanjing 210014, P.R.China;Department of Ultrasound, Shandong Medical Imaging Research Institute Affiliated to Shandong University, Jinan 250021, P.R.China)

机构地区：[1]南京中医药大学附属南京市中西医结合医院超声科,江苏南京210014 [2]南京中医药大学附属南京市中西医结合医院病理科,江苏南京210014 [3]山东大学附属山东省医学影像学研究所超声室,山东济南250021

出　　处：《医学影像学杂志》2020年第11期2079-2083,共5页Journal of Medical Imaging

摘　　要：目的总结分析浅表结内淋巴瘤高频超声图像特点,以提高其诊断准确率。方法对105例(516个)经手术病理证实为浅表结内淋巴瘤患者的临床及超声图像资料进行回顾性分析。超声检查评估项目包括数目、形态、边界、皮质回声、淋巴门、血流分布模式及血流密度。结果浅表结内淋巴瘤均为多个淋巴结同时受累,淋巴结多为类圆形75.0%(387/516),边界清晰、锐利83.1%(429/516),淋巴门结构消失61.2%(316/516),皮质回声为不均匀型69.6%(359/516)。特异性声像图表现包括粗纤维饼征、网格征、败絮征、枯藤征、蛋黄征、假肾征。彩色多普勒超声显示血流分布以混合型最常见,其次为边缘型与淋巴门型;血流密度以IV级为主。结论了解并熟悉浅表结内淋巴瘤超声表现,结合患者的临床信息能提高超声对本病的诊断准确率。Objective To summarize and analyze the characteristics of high-frequency ultrasonography in diagnosis of superficial intranodal lymphoma.Methods 516 lymph nodes of 105 patients with superficial intranodal lymphoma confirmed by surgery and pathology were selected to analyze clinical and ultrasonographic data retrospectively.The ultrasound assessment included number,shape,border,cortical echoes,lymphatic hilum,blood flow distribution pattern,and blood flow density.Results Superficial intranodal lymphomas involved multiple lymph nodes simultaneously.Most of the lymph nodes were circle-like shaped 75.0%(387/516)83.1%(429/516)of cases have clear and sharp boundaries,61.2%(316/516)of cases didn’t have normal lymphatic hilar structure,and 69.6%(359/516)of cases showed heterogeneous cortical echoes.Specific ultrasonic features included crude fiber biscuit sign,grid sign,flocculation sign,withered vine sign,egg yolk sign,and pseudo-kidney sign.Color Doppler flow imaging showed that the mixed type was the most common blood flow distribution,followed by lymphatic hilar type and marginal type.Besides,the blood flow density was mainly grade IV.Conclusion Understanding and being familiar with the ultrasonographic presentation of superficial intranodal lymphoma and combining them with the clinical information of patients can improve the diagnostic accuracy of ultrasonography for this disease.

关 键 词：淋巴结 淋巴瘤 超声检查 

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