浅表淋巴结淋巴瘤超声图像特点与病理结果对比研究

Comparative study of ultrasonographic features and pathologic findings of superficial lymph node lymphoma

目的 通过对2012-2016年我院收治的180例淋巴结淋巴瘤患者进行回顾性分析,探究浅表淋巴结淋巴瘤超声图像特点与病理结果的关系.方法 应用彩色超声仪对患者进行检测,分析淋巴结长颈与短颈比值（L/S）,淋巴结门髓质区存在与否,淋巴结皮质回声类型,血流分型和淋巴结的病理分型.结果 180例患者的病理类型中霍奇金淋巴瘤占25%,非霍奇金淋巴瘤占75%.180例患者中,共入选422个淋巴结,其中,颈部淋巴结230个,腋窝及腹股沟淋巴结192个.不同区域浅表淋巴结淋巴瘤的L/S＜2或者L/S≥2、病理类型比较,差异无统计学意义（P＞0.05）,门髓质区、皮质回声及皮质回声类型、血流类型比较,差异有统计学意义（P＜0.05）.结论 不同区域淋巴瘤的超声图像有一定差异,门髓质区消失者居多,皮质回声多不均匀,血流类型以淋巴门型和混合型为主,但均与病理结果没有显著相关性.

Objective To investigate the relationship between uhrasonographic features and pathological results of 180 patients with lymph node lymphoma from 2012 to 2016 in our hospital. Methods Long neck and short neck ratio of lymph node （US）, with or without lymph node hilar medulla, lymph node cortex echo types, blood flow type and lymph node types of 180 patients were analysis by color ultrasound. Results Hodgkin＇s accounted for 25% in 180 cases of patients, non- Hodgkim＇s lymphoma accounted for 75%. 422 lymph nodes were selected among 180 cases of patients, a total of 230 were cervical lymph nodes, 192 lymph nodes were axillary and inguinal lymph nodes. There was no statistical significance differ- ence of L/S〈2, L/S≥2 pathological type of superficial lymph node lymphoma in different regions （P〉0.05）, but the difference in lymph node hilar medulla area, cortex echo, cortex echo types and blood flow type in different regions were significant（P〈 0.05）. Conclusion Ultrasound images of lymphoma in different regions have certain differences, such as disappeared door medulla, uneven cortex echo, blood type in hilar type and mixed type, but there is no significant correlation between ultra- sound images and pathological results.