结核性纵隔肺门淋巴结肿大及钙化诊断技术研究进展  

Research progress of mediastinal hilar lymph node enlargement and calcification in tuberculosis

作　　者：冯美 高丽 杨雅吉[5] 罗红英 张桂仙 王袁洪 雷素云 杨丹丹 FENG Mei;GAO Li;YANG Yaji;LUO Hongying;ZHANG Guixian;WANG Yuanhong;LEI Suyun;YANG Dandan(School of Public Health,Public Health Department,Graduate student,Class of 2022,Dali University,671000,China;Clinical Laboratory,Yunnan Provinicial Hospital of Infectious Disease,Yunnan Provinicial AIDS care,Kunming 650301,China)

机构地区：[1]大理大学公共卫生学院公共卫生科,671000 [2]云南省传染病医院、云南省艾滋病关爱中心结核科,昆明650301 [3]云南省传染病医院、云南省艾滋病关爱中心检验科,昆明650301 [4]云南省传染病医院、云南省艾滋病关爱中心科教科,昆明650301 [5]昆明医科大学附属昆明市延安医院呼吸科,650000

出　　处：《传染病信息》2024年第2期178-181,共4页Infectious Disease Information

基　　金：昆明医科大学科技创新团队建设项目(CXTD202111);云南省教育厅科学研究基金项目(2024J0317)。

摘　　要：纵隔肺门淋巴结肿大及钙化的病因包括淋巴结结核、结节病、肿瘤、尘肺等。病原学诊断需借助纵隔镜及基于CT、支气管镜、支气管内超声、电磁导航引导下的针吸活检技术采集标本,根据患者淋巴结病变位置、分布、是否存在气道狭窄等具体情况选择合适的取样技术进行诊断。本文对结核病合并纵隔肺门淋巴结肿大及钙化优化诊断技术进行综述。The causes of mediastinal hilar lymph node enlargement and calcification include lymph node tuberculosis,sarcoidosis,tumors,pneumoconiosis,etc.Pathogenic diagnosis requires the use of mediastinoscopy and needle aspiration biopsy techniques guided by CT,bronchoscopy,endobronchial ultrasound,and electromagnetic navigation to collect specimens.Imaging is used to locate enlarged lymph nodes,and appropriate sampling techniques are selected for diagnosis based on specific conditions such as the location,distribution,and presence of airway stenosis in the patient’s lymph node lesions.The purpose of this review is to provide a reference for the optimization of diagnostic techniques for infectious diseases such as TB,TB/HIV with mediastinal hilar lymph node enlargement and calcification.

关 键 词：纵隔肺门淋巴结肿大及钙化 诊断技术 结核病 

分 类 号：R52[医药卫生—内科学]