摘要
目的：通过对颈部肿大淋巴结的二维及彩色多普勒超声不同参数的分析，探讨其在颈部淋巴结良恶性病变诊断中的应用价值。方法选取2012年6月～2014年5月收治的门诊及住院患者125例，对156个颈部肿大淋巴结进行检测。分析其二维及彩色多普勒超声图像，记录淋巴结例数、形态、长短径比值（L/S）、轮廓边缘、皮髓质回声、髓质面积与整个淋巴结面积比值（Am/At）、淋巴结门、血流类型、RI。结果经随访复诊及病理证实分为良性组（炎性反应性增生）、恶性组（淋巴瘤、恶性肿瘤转移性淋巴结），统计淋巴结良恶性病变中各参数的超声特征性。结论二维及彩色多普勒超声能够有效判断颈部淋巴结病变的良恶性，为临床提供可靠的诊断依据。
Abstract
Objective To explore the clinical value of the benign and malignant lesions in the cervical lymph nodes by ultrasound 2D and color Doppler ultrasound scanning. Methods 125 outpatients and inpatients were selected from May 2014 to June 2012, and 156 cervical lymph nodes were detected. Analysis of the two-dimensional and color Doppler ultrasound image and documented lymph node cases number, morphology, length diameter ratio (L/s), edge, corticomedullary echo, medulla area and the lymph node area ratio (Am/At), lymph node, blood type, RI. Results By follow-up referral and pathology, the analysis was taken by dividing lymph nodes into benign group (inflammatory reactive hyperplasia) and malignant (lymphoma, metastatic lymph nodes) to obtain statistical parameters in benign and malignant lymph nodes sonographic chatacteristics. Conclusions Ultrasound 2D and color Doppler ultrasound can better identify the benign and malignant cervical lymph node to provide a reliable basis for clinical diagnosis.
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NSTL
维普
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