颈部转移性淋巴结的超声造影表现分析.pdfVIP

AU 中阂趟声医学杂志2008 年第24 卷第6 期 Chinese J Ultrasound Med Vol 24 No 6 2008 颈部转移性淋巴锚的超声造影表现分析 洪玉蓉刘学明 摘要 阔的 探讨颈部转移性淋巴结的超商造影表现特征。 方法 对23 例患者的52 个颈部转移性淋巴结进行放阶超声造影，观察造影图像表现。 结果 52 个转移性淋巴结中. 36 个 (69%) 淋巴结造影表现为显著增强的实质内有局灶性低或无灌注区; 14 个 (27%) 淋巴 结造影表现为整个淋巴结微弱增强，灌注均匀或不均匀，其中的9 个淋巴结造影同时表现为边界不清，与不均匀增强的周围软组 织视台成一片，造影阁像上无法辨认淋巴绪的轮廓; 2 个 (4%) 淋巴结造影表现为孩个淋巴结显著而均匀的增强。 篇论 超声造影能反映转移位淋巴结的灌注情况，对诊断有一定价值。 关键词 超声造影颈部淋巴结转移 Contrast-enhanced Ultrasound for Evaluation of Metastatic Cervical Lymph Nodes Hong Yurong. Liu Xueming Department of Ultrasound , Second Affiliated Hospítal , Zhejiang Uníversíty , College of Medicine , Hangzhóu 310009 China Abstract: Objective To analyse the characteristics of cervical lymph nodes with contrast白enhanced ultrasound. Methods Fifty-two metastatic lymph nodes from 23 patients were studied both with conventional techniques and contrast唰enhanced ultrasound. The enhancement of echogenicity was evaluated. The diagnosis was based on surgical biopsy. Results Contrast-enhanced ultrasound showed íntense but heterogeneous enhancement ín 36 of 52 (69 %) metastatic lymph nodes with low or anechoic perfusion in the nodal parenchyma; low intranodal enhancement in 14 of 52 (27 %) modes , 9 of whích showed blurred borders and blended into the surrounding tissue; 2 of 52 (4%) had intense homogeneous enhancement. Conclusions Wîth contrast-enhanced ultrasound , we can do better in the diagnosis of cervical metastatic lymph nodes. Key words: Contrast-enhanced ultrasound. Cervical lymph node , Metastasís. 对恶性肿瘤患者而言，淋巴结有无肿瘤转移是影 检查仪器为 Acuson Sequoia 512 ，造影探头为 响肿瘤分期和制定的疗策略的重要依据之一。对预部 15L8w 宽频线阵高分辨力探头。先行常规超商检查， 战表淋巴锚， I临床首选超商检