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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
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Copyright 2004-2011 Aspose Pty Ltd.
2
简介
11/23/12
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全身约有800个淋巴结,分布于头颈部约有300个。
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3
淋巴结的描述
11/23/12
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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.
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Copyright 2004-2011 Aspose Pty Ltd.
5
颈部淋巴结分区
11/23/12
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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.
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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.
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Copyright 2004-2011 Aspose Pty Ltd.
8
反应性淋巴结增生
11/23/12
8
Evaluation only.
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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.
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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.
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Copyright 2004-2011 Aspose Pty Ltd.
12
颈部淋巴结结核
II型
III型
11/23/12
12
Evaluation only.
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Copyright 2004-2011 Aspose Pty Ltd.
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