摘要
目的探讨螺旋CT对颈部淋巴结病变的诊断价值。方法回顾性分析53例经手术及病理证实的颈部淋巴结病变的螺旋CT资料。结果淋巴瘤7例,主要表现为累及两个以上淋巴结分区6例和其他部位淋巴结受累6例,淋巴结融合成团块状4例,多呈实性结节和均匀性强化;转移性癌39例,主要表现为单区转移10例,二个以上淋巴结分区转移29例,有其他部位淋巴结转移25例,淋巴结融合成团块状13例,出现淋巴结结外侵犯21例,32例有不同程度的强化;淋巴结核7例,位于单区4例,双区3例累及其他部位淋巴结2例,5例有钙化,3例可见淋巴结周围有渗出性改变。结论螺旋CT对颈部淋巴结病变的诊断具有重要的价值。
Objective To evaluate the values of the spiral CT in the lymph node lesions in neck Methods CT studies of 53 patients with pathologically-proved the lymph node lesions in neck were retrospectively analyzed. Results The main performance of 7 cases lymphoma is to involves more than two lymph node cent area in the 6 cases and to implicate with the lymph node in other part of 6 cases, lymphous nodes fusion conglobation is 4 cases. It is more solid node and to enhance with the even. The main performance of 39 cases metastatic cancer is 10 cases of the single area metastasis and the more than two lymph node cent area metastasis are 29 cases. There is lymph nodes metastatic cancer of 25 patients in 39 cases with other part and lymph nodes fusion conglobation is 13 cases. 21 patients of 39 cases appear the lymph node outside Infringe upon. 32 patients contain different degree enhancement. 7 cases lymphous tubercle are 4 cases of the single area and 3 cases of the double area. 2 / 7 cases lymphous tubercle Involve in the other part. There are calcifies in 5/7 cases of the lymphous tubercle. There is exudation changes in the lymphoid knot surroundings in 3/7 cases of the lymphous tubercle. Conclusion The spiral CT has the important value to the diagnosis of lymphatic gland lesions in neck..
出处
《CT理论与应用研究（中英文）》
2004年第3期13-18,共6页
Computerized Tomography Theory and Applications
