摘要
目的：提高对淋巴结结核ＣＴ表现的认识。材料与方法：搜集经病理证实的淋巴结结核21例，其中男7例，女14例，年龄18～67岁，平均32岁，全部病例均行ＣＴ增强扫描。结果：21例颈部、纵隔及腹内不同部位的淋巴结结核CT增强表现分为5种：①均匀强化；②不均匀强化；③薄环状强化；④环状分隔样强化；⑤融合多环状强化。两种或两种以上类型强化联合存在16例，其中呈各种环形强化的共18例，占85.7％，以环状分隔样强化及融合多环状强化最具特征。结论：淋巴结结核增强ＣＴ表现具有一定特征，是诊断本病的首选方法。
Abstract
Objective: To improve the understanding of CT imaging features of tuberculous lymphadenitis. Materials and Methods: Twenty-one cases of tuberculous lymphadenitis after pathologically confirmed, including 7 men and 14 women, the average age was 32 years(range from 18～67 years) were studied, all patients underwent enhanced CT scan. Results: Twenty-one patients with different parts of cervical, mediastinal and abdominal lymph node tuberculosis. The CT features could be divided into five types: ①iso-density enhancement; ②heterogeneous enhancement; ③corolla-like enhancement; ④separate ring-like enhancement; ⑤integration of multi-ring-like enhancement. Two or more features mixed together were seen in 16 cases. Eighteen cases showed various ring enhancement, accounting for 85.7%, a separate ring-like enhancement and/or integration of multi-ring-like enhancement were the most characteristic features. Conclusion: CT had certain characteristics of tuberculous lymphadenitis, and was the preferred method for diagnosing this disease.
关键词
结核 /
淋巴结 /
体层摄影术 /
X线计算机
Key words
tuberculosis /
lymph node /
tomography /
X-ray computed
梁 峰;王明杰;陈淑艳;叶叔文.
淋巴结结核的CT表现（附21例报告）[J]. 中国临床医学影像杂志. 2007, 18(5): 308-310
LIANG Feng;WANG Ming-jie;CHEN Shu-yan;YE Shu-wen.
CT findings of tuberculous lymphadenitis[J]. Journal of China Clinic Medical Imaging. 2007, 18(5): 308-310
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