颈部淋巴结结核超声检查表现及其预后分析  

Ultrasound findings and prognostic analysis of different cervical lymphatic tuberculosis

作　　者：杨青[1] 张鸥权 刘秋月[2] YANG Qing;ZHANG Ouquan;LIU Qiuyue(Department of Ultrasound,Beijing Chest Hospital,Capital Medical University,Beijing 101149,China;Department of Critical Care Medicine,Beijing Chest Hospital,Capital Medical University,Beijing 101149,China)

机构地区：[1]首都医科大学附属北京胸科医院超声科,北京101149 [2]首都医科大学附属北京胸科医院重症医学科,北京101149

出　　处：《医学影像学杂志》2024年第6期26-29,36,共5页Journal of Medical Imaging

基　　金：国家自然科学基金青年科学基金项目(编号:82100011)。

摘　　要：目的探讨颈部淋巴结结核的超声特征,分析超声检查不同声像图表现与颈部淋巴结结核预后的关系。方法选取在北京胸科医院经病理确诊并接受规律抗结核治疗的109例颈部淋巴结结核患者超声检查不同声像图表现,根据液化情况分为两组:无液化及液化范围<50%的淋巴结作为A组(63例),液化范围≥50%的淋巴结作为B组(46例),停药时比较两组淋巴结的缩小率,分析两组的预后是否存在差异。结果规律抗结核至患者停药,两组病例中A组淋巴结缩小率大于B组,差异有统计学意义(P<0.001)。结论A组淋巴结抗结核治疗后预后更好,超声检查可以全程观察颈部淋巴结结核患者的淋巴结情况、对疾病的诊断及预后有指导价值。Objective To analyze the ultrasound characteristics of cervical lymph node tuberculosis and to explore the relationship between different ultrasound imaging manifestations and the prognosis of cervical lymph node tuberculosis.Methods Different ultrasonographic manifestations of 109 patients with cervical lymph node tuberculosis diagnosed pathologically and receiving regular anti-tuberculosis therapy in Beijing Chest Hospital from January 2018 to October 2022 were collected.They were divided into two groups based on liquefaction status.Lymph nodes without liquefaction and with a liquefaction range of less than 50% were classified as Group A,with a total of 63 cases.The lymph nodesof other groupwere classified as Group B,with a total of 46 cases.The reduction rate of lymph nodes in the two groups was compared when stopping the medication.We analyzed whether there was a difference in prognosis between the two groups.Results Regular anti-tuberculosis therapy was used until the patient stopped taking medication.In the two groups of cases,the reduction rate of partially liquefied lymph nodes was higher than that of the other groups,with a statistically significant difference(P=0.00).Conclusion GroupA has a better prognosis after anti-tuberculosis treatment.Ultrasonic testing can observe the lymph node condition of cervical lymph node tuberculosis patients throughout the process,thereby providing guidance for the diagnosis and prognosis of patients.

关 键 词：淋巴结结核 超声检查 预后 

分 类 号：R52[医药卫生—内科学] R445.1[医药卫生—临床医学]