彩色多普勒超声对浅表淋巴结结核患者的鉴别诊断价值

来源 :中国卫生工程学 | 被引量 : 0次 | 上传用户:chentong85952000
下载到本地 , 更方便阅读
声明 : 本文档内容版权归属内容提供方 , 如果您对本文有版权争议 , 可与客服联系进行内容授权或下架
论文部分内容阅读
目的研究彩色多普勒超声对浅表淋巴结结核患者的鉴别诊断价值。方法选择自2013年5月-2015年5月本院收治的54例疑似浅表淋巴结结核的患者作为研究对象,分别采用常规CT和彩色多普勒诊断,两组参与检测的医护人员彼此不知道对方的检测结果,然后对患者的相关部位进行穿刺活检,进行细胞学或病理分析,确定最终结果。比较常规CT和彩色多普勒诊断对浅表淋巴结结核的诊断灵敏度、特异性,以及与最终结果的诊断符合率。结果彩色多普勒超声检查阳性48例,阴性6例,其中有1例误诊。CT检查阳性46例,2例误诊;阴性8例,误诊5例;与病理活检结果相比,虽然两种方法对于浅表淋巴结结核的灵敏度、特异度差异不具有统计学意义(P>0.05),但彩色多普勒超声检查结果与最终病理活检结果的符合率更高,差异具有统计学意义(P<0.05)。浅表淋巴结结核依据不同病理改变可分为淋巴结炎症型、干酪坏死型、液化脓肿型和愈合期钙化型4种类型,具体彩色多普勒超声影像表现不同。结论彩色多普勒超声检测对于浅表淋巴结结核患者的诊断价值极高,灵敏度、特异性以及准确度均显著高于常规CT检查,对患者身体无害,安全性好,实用性强,值得临床推荐。 Objective To study the differential diagnosis value of color Doppler ultrasonography in patients with superficial lymph node tuberculosis. Methods From May 2013 to May 2015, 54 patients with suspected superficial lymph node tuberculosis in our hospital were selected as the study subjects. The patients were diagnosed by conventional CT and color Doppler, respectively. The two groups of medical staff who participated in the test did not know each other Each other’s test results, and then the patient’s relevant parts of the biopsy, cytological or pathological analysis to determine the final result. Diagnostic sensitivity, specificity, and diagnostic accuracy of the final results were compared between routine CT and color Doppler imaging in diagnosing superficial lymph node tuberculosis. Results Color Doppler ultrasound was positive in 48 cases, 6 cases were negative, of which 1 case was misdiagnosed. CT was positive in 46 cases, misdiagnosed in 2 cases, negative in 8 cases and misdiagnosed in 5 cases. Compared with pathological biopsy results, there was no significant difference in sensitivity and specificity between the two methods for superficial lymph node tuberculosis (P> 0.05) , But the coincidence rate of color Doppler ultrasound examination and final pathological biopsy was higher, the difference was statistically significant (P <0.05). According to different pathological changes, superficial lymph node tuberculosis can be divided into four types: lymphadenitis type, cheese necrosis type, liquefaction abscess type and healing type calcification type. The specific color Doppler ultrasound images have different manifestations. Conclusion The color Doppler ultrasonography is of great value in the diagnosis of superficial lymph node tuberculosis patients. The sensitivity, specificity and accuracy are significantly higher than those of routine CT examination. It is harmless to the patient, safe and practical, and worthy of clinical application recommend.
其他文献
e抗元阳性者在乙型肝炎中具有较强的传染性及其在予后中的意义,已为国内外资料所论及。但在临床表现方面e抗元阳性者是否具有特点,报告较少。而且这少数报告几乎全是来自住
新疆维吾尔自治区哈密地区结核病领导小组根据自治区结核病防治五年规划(1976—1980),于1977—1979对全地区进行了结核病流行病学调查:1.对15岁以下儿童70,366名进行直接皮
《茶余饭后》,我与《梅娘》来到夏日的海边,听《涛声依旧》。她讲起《一个女人遭遇》,为追求《浪漫人生》,她爱上了《雅男公子》,都说《初恋最美》,这《剪不断的爱》使她成为一只《
笔记思绪黄长明光阴似箭,一晃参加革命工作就是三十多年。由于我有记笔记的习惯,加之职业(管市镇供应)的关系必须记笔记,于是有了一大摞笔记本。在这些笔记本里,装了我的童年,装了我
近年来许多注意力都放在评价检测微丝蚴的技术和检查微丝蚴血症的定量方面。最近检查低密度微丝蚴的最敏感方法是采集和过滤大量的静脉血。但作者认为适当的取样部位很重要
一、运用合理化疗:自五十年代以来,由于化学疗法的广泛应用,使许多国家和地区的结核病流行病学指标都迅速下降。以往认为肺结核患者的年龄、性别、营养、休息、气候、精神因
采用理论计算与实验相结合的方法对金刚石混杂SiC/Al复合材料的热物理性能进行研究,采用微分有效介质(DEM)理论和扩展的Turner模型分别计算金刚石混杂SiC/Al复合材料的热导率
支气管哮喘(简称哮喘)是呼吸系统常见的疾病,其发病率和患病率正在不断上升。哮喘急性发作时,病人极度地焦虑或惊恐,因此做好哮喘患者的护理工作有重要意义。1临床资料2014年
对55例经头颅CT确诊的脑梗塞患者作BAEP检查。结果显示:脑梗塞特别是脑干梗塞,急性期患者BAEP波形明显异常,恢复期BAEP改变与临床表现基本相符。认为BAEP可补充CT诊断的不足,并可作为脑梗塞动态观察和估
脉络宁加低分子右旋糖酐治疗脑梗塞36例张红梅,查艳菊脑梗塞是脑血管系统常见病,发病率致残率高,治疗无特效疗法。我院自1992年12月至1994年12月用脉洛宁加低分子右旋糖酐治疗脑梗塞36例,在缩短病