医学影像-颈部淋巴降尼病变的CT表现.ppt

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医学影像-颈部淋巴降尼病变的CT表现

颈部淋巴结病变的CT表现 北京同仁医院影像中心 赵鹏飞 11/23/12 1 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 2 简介 11/23/12 2 全身约有800个淋巴结,分布于头颈部约有300个。 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 3 淋巴结的描述 11/23/12 3 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 4 颈部淋巴结分区 其它,包括咽喉组、家族、腮腺内、耳前、耳后、枕下组淋巴结,不包括在上述七分区内。 11/23/12 4 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 5 颈部淋巴结分区 11/23/12 5 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 6 颈部淋巴结病变分类 1.反应性淋巴结增生 2.化脓性淋巴结炎 3.颈部淋巴结结核 4.颈部巨大淋巴结增生 5.非霍奇金淋巴瘤 6.颈部淋巴结转移瘤 11/23/12 6 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 7 反应性淋巴结增生 1.单发或多发 2.大小不等 3.密度均匀 4. 边界清楚 5.轻中度均匀强化 11/23/12 7 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 8 反应性淋巴结增生 11/23/12 8 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 9 化脓性淋巴结炎 1.多发或融合呈肿块状 2.密度不均,内部坏死 3.边界不清,常侵犯邻近结构,周围可见水肿改变 4.增强后环形强化 11/23/12 9 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 10 化脓性淋巴结炎 11/23/12 10 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 11 颈部淋巴结结核 1. Ⅳ、Ⅴ区下部多见 2.分型: Ⅰ型:密度均匀,增强后均匀强化 Ⅱ型:密度不均,增强后环形强化 Ⅲ型:融合呈块状,边界不清或与肌肉粘连,增强后环形强化 I型 11/23/12 11 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 12 颈部淋巴结结核 II型 III型 11/23/12 12 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.

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