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.
Abstract
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.
基金项目
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)