超声诊疗在文身后局部淋巴结肿大中的应用  

Application of ultrasonic diagnosis and treatment in local lymph node enlargement after tattoo

作　　者：杨艳[1] 王东林[2] 韩丽珍[3] 褚红娟[4] 符少清[2] 陈树宝 YANG Yan;WANG Dong-lin;HAN Li-zhen;CHU Hong-juan;FU Shao-qing;CHEN Shu-bao(Department of Dermatology,Hainan General Hospital,Haikou 570311,Hainan,CHINA;Department of Ultrasound,Hainan General Hospital,Haikou 570311,Hainan,CHINA;Medical Records Room,Hainan General Hospital,Haikou 570311,Hainan,CHINA;Department of Pathology,Hainan General Hospital,Haikou 570311,Hainan,CHINA)

机构地区：[1]海南省人民医院皮肤科,海南海口570311 [2]海南省人民医院超声科,海南海口570311 [3]海南省人民医院病案室,海南海口570311 [4]海南省人民医院病理科,海南海口570311

出　　处：《海南医学》2023年第3期392-394,共3页Hainan Medical Journal

基　　金：海南省卫生健康行业科研项目(编号:20A200500)。

摘　　要：目的探讨超声诊疗在文身后局部淋巴结肿大中的应用价值。方法回顾性分析2020年6月至2021年6月在海南省人民医院超声科行超声引导下淋巴结穿刺并有文身史的14例患者的临床及超声诊疗资料。结果文身位于前胸壁者6例、后背及肩背部者3例、前臂及虎口处3例、外踝2例;所有患者均行超声引导下穿刺活检获得病理学诊断,其中11例为炎症性病变(8例为肉芽肿性炎,3例为慢性化脓性炎症),2例为转移癌(1例文身位于后背,1例位于外踝),1例为非霍奇金淋巴瘤(文身位于前胸壁);文身部位与淋巴结肿大的部位及与淋巴结良恶性均无关(P>0.05)。结论淋巴结是免疫应答发生的场所,文身染料颗粒进入人体部分会聚集在淋巴结内,可能诱发一系列的免疫应答而产生不同的临床症状,超声引导下淋巴结穿刺活检可获得淋巴结病理学诊断,对于化脓性淋巴结炎也可在超声引导下进行脓液抽吸进行微生物学检测,辅助临床进一步治疗。Objective To investigate the application value of ultrasonic diagnosis and treatment in local lymph node enlargement after tattoo.Methods The clinical and ultrasonic diagnosis and treatment data of 14 patients with a history of tattoo who underwent ultrasound-guided lymph node puncture in the Department of Ultrasound,Hainan Genral Hospital from June 2020 to June 2021 were retrospectively analyzed.Results There were 6 cases having tattoo on the front chest wall,3 cases on the back and back of shoulder,3 cases on the forearm and the joint between thumb and the index finger,and 2 cases on the lateral malleolus.All cases were diagnosed by ultrasound-guided puncture biopsy.Among them,there were 11 cases of inflammatory lesions(8 cases of granulomatous,3 cases of chronic suppurative inflammation),and 2 cases of metastatic carcinoma(1 case of tattoo on the back and 1 case on lateral malleolus),and 1 case of non-Hodgkin's lymphoma(the tattoo was located in the anterior chest wall).There was no significant correlation between the location of the tattoo and the location of lymph node enlargement and the benign and malignant lymph nodes(P>0.05).Conclusion Lymph node is the place where immune response occurs,and the tattoo dye particles entering the human body will gather in the lymph node,which may induce a series of immune responses and produce different clinical symptoms.Ultrasound-guided lymph node biopsy can be used for pathological diagnosis of lymph node,and ultrasound-guided pus aspiration can also be used for microbial detection of suppurative lymphadenitis to assist further clinical treatment.

关 键 词：文身 淋巴结 超声 穿刺 诊疗 

分 类 号：R445.1[医药卫生—影像医学与核医学]