中西医结合治疗恶性淋巴瘤超声造影成像特点分析

Features of Contrast-enhanced Ultrasound Imaging in Malignant Lymphoma after Treatment with Integrated Chinese and Western Medicine

目的观察中西医结合治疗恶性淋巴瘤前后超声造影灌注的动态变化。方法10例恶性淋巴瘤患者经不同周期中西医结合治疗后对21个病变淋巴结(颈部、髂血管旁、后腹膜)和7个脾浸润病灶进行超声造影观察,分析其造影增强的图像特点。结果淋巴结病灶治疗前后彩色多普勒血流显像方法(CD F I)示血流分布类型及连续增强超声造影(CEUS)增强分布方式均有明显差异(P<0.05);脾脏病灶治疗前后CEUS增强方式分布有明显差异(P<0.05)。结论超声造影能有效地用于恶性淋巴瘤中西医结合治疗后随访并指导后续治疗。

Objective To investigate the typical features of contrast-enhanced ultrasound imaging in malignant lymphoma after treatment with integrated Chinese and Western medicine. Methods Ten patients with malignant lymphoma after different treatment cycles were examined with contrast-enhanced sonography, including 21 lymphnodes （in the neck, space of iliac blood vessels, retroperitoneum ） and 7 spleen infiltrations. Results The blood flow pattern distribution in lymph node before freatment was significantly different from that after trentment showed either by color Doppler flow imaging （CDFI） or by contrast-enhanced ultrasound （CEUS, P〈 0.05）, and the difference in splenic lesion was shown by CEUS （P 〈 0.05）. Conclusion Contrast-enhanced ultrasound imaging is a valuable tool for the follow-ups of malignant lymphoma after chemotherapy and guiding subsequent treatment.