摘要
目的:探索超声弹性成像及评分在颈部淋巴结结核分型中的应用价值研究。方法:收集我院2017年5月到2018年的40名病理或诊断性治疗证实为淋巴结结核的患者。依据淋巴结结核的常规超声分型标准,对淋巴结进行分型,总结并比较四型颈部淋巴结结核病灶的弹性评分和应变率比值。结果:Ⅰ型淋巴结22枚(36.67%),Ⅱ型21枚(35.0%),Ⅲ型11枚(18.33%),Ⅳ型6枚(10.0%)。弹性评分:1分1枚(1.67%),2分11枚(18.33%),3分20枚(33.33%),4分25枚(41.67%),5分3枚(5.0%)。各型淋巴结结核的弹性评分与SR差异均有统计学意义(H=28.302,F=19.484;P均<0.001);两两比较发现除Ⅰ型和Ⅱ型病灶之间弹性评分及SR差异无统计学意义外,其他各型病灶之间弹性评分及SR差异均有统计学意义(P<0.05)。结论:采用超声弹性成像及评分对颈部淋巴结结核的分型具有一定的作用。
Objective:To explore the value of ultrasonic elastic imaging and scoring in the classification of cervical lymph node tuberculosis.Methods:From May 2017 to 2018,40 patients with lymph node tuberculosis confirmed by pathological or diagnostic treatment were collected.According to the standard of conventional ultrasound classification of lymph node tuberculosis,the classification of lymph nodes was carried out,and the elastic score and strain rate ratio of cervical lymph node tuberculosis lesions of type 4 were summarized and compared.Results:There were 22 lymph nodes(36.67%),21 lymph nodes(35.0%),11 lymph nodes(18.33%)and 6 lymph nodes(10.0%).Elasticity score:1 score 1(1.67%),11(18.33%)in 2 minutes,20(33.33%)in 3 minutes,25(41.67%)in 4 minutes and 3(5.0%)in 5 minutes.The elastic score of each type of lymph node tuberculosis was significantly different from that of SR(H=28.302,F≥19.484,P<0.001).There was no significant difference in elastic score and SR between typeⅠand type II lesions,but there was significant difference in elastic score and SR between other types of lesions(P<0.05).Conclusion:Ultrasonic elastic imaging and scoring are used in the treatment of cervical lymph nodes.The classification of tuberculosis plays a certain role.
作者
李坤
戴宇彪
卢霄玲
李蔚玲
Li Kun;Dai Yubiao;Lu Xiaoling;Li Weiling(The Sixth People's Hospital of Dongguan,Dongguan,Guangdong 523000)
出处
《现代医用影像学》
2020年第1期10-12,共3页
Modern Medical Imageology
基金
2017年东莞市社会科技发展一般项目(201750715005122),项目名称:超声在颈部淋巴结核疗效评估中的应用价值探讨.
关键词
超声弹性成像
颈部淋巴结结节
结核
彩色多普勒
Ultrasonic elastic imaging
Cervical lymph node nodules
Tuberculosis
Color Doppler imaging
