医学诊断  >> Vol. 3 No. 3 (September 2013)

颈部淋巴结结核的CT表现与临床
CT Findings of the Cervical Tuberculous Lymphadenitis

DOI: 10.12677/MD.2013.33007, PDF, HTML, XML, 下载: 2,718  浏览: 8,465 

作者: 李志强, 刘玉龙:山东省潍坊市第二人民医院放射科,潍坊;张加成:杭州红会医院放射科,杭州;杨大为*, 杨正汉*:卫生部北京医院,北京大学第五临床医学院放射科,北京

关键词: 结核颈部淋巴结CTTuberculosis; Cervical Lymph Nodes; CT

摘要: 目的:探讨颈部淋巴结结核的CT特征。方法:47例颈部淋巴结结核患者接受了CT平扫及增强扫描,对其所有CT图像进行回顾性分析。结果:根据病理学表现,颈部淋巴结结核的CT表现分为四型:I型:结核结节及肉芽肿形成5例;II型:淋巴结干酪样坏死18例;III型:淋巴结包膜坏死21例;IV型:淋巴结干酪样坏死破溃并向周围侵犯3例。结论:CT可较为准确反映颈部淋巴结的病理学变化,对于颈部淋巴结结核的诊断具有较高的价值。 Purpose: To investigate the CT findings of the cervical tuberculous lymphadenitis. Methods: Plain and con- trast-enhanced CT were performed in 47 cases with cervical tuberculous lymphadenitis confirmed by histopathology. All CT images were reviewed. Results: According to the histopathologic finding, CT findings of cervical tuberculous lymphadenitis were classified into four types: 5 cases were type I, tuberculers node and granuloma; 18 cases were type II, lymphoglandula caseousnecrosis; 21 cases were type III, peplos necrosis of the lymphoglandula; 3 cases were type IV, diabrosis of the lymphoglandula caseousnecrosis and invaded the tissue surroundings. Conclusion: CT can demon-strate the pathological abnormalities of cervical tuberculous lymphadenitis and play an important role in the diagnosis of the disease.

文章引用: 李志强, 张加成, 杨大为, 刘玉龙, 杨正汉. 颈部淋巴结结核的CT表现与临床[J]. 医学诊断, 2013, 3(3): 32-35. http://dx.doi.org/10.12677/MD.2013.33007

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