二维超声检查联合彩色超声检查在鉴别诊断淋巴瘤性淋巴结与浅表淋巴结转移癌中的应用价值

The application value of two dimensional ultrasonography combined with color ultrasonography in differential diagnosis of lymphoma lymph nodes and superficial lymph node metastatic carcinoma

目的:探究二维超声检查联合彩色多普勒超声检查在鉴别诊断淋巴瘤性淋巴结与浅表淋巴结转移癌中的应用价值。方法:从2015年7月至2017年9月期间什邡市人民医院收治的患者中抽选21例淋巴瘤性淋巴结患者和22例浅表淋巴结转移癌患者作为研究对象。根据病情的不同将其分为淋巴瘤组和转移癌组。对两组患者均进行二维超声检查联合彩色多普勒超声检查。然后比较两组患者病灶的L/S(长径短径比)、形态、内部回声及其病灶部位的血流类型(包括淋巴门型血流、中央型血流、周边型血流及无血流等)。结果:进行二维超声检查的结果显示,两组患者中L/S<2的患者占比相比,P>0.05。淋巴瘤组患者中存在病灶形态不规则、病灶内部髓质强回声消失等情况的患者占比均低于转移癌组患者,其中存在病灶内部回声显著降低情况的患者占比高于转移癌组患者,P<0.05。进行彩色多普勒超声检查的结果显示,两组患者中病灶部位血流类型为周边型血流和无血流的患者占比相比,P>0.05。淋巴瘤组患者中病灶部位血流类型为淋巴门型血流的患者占比高于转移癌组患者,其中病灶部位血流类型为中央型血流的患者占比低于转移癌组患者,P<0.05。结论:二维超声检查联合彩色多普勒超声检查在鉴别诊断淋巴瘤性淋巴结与浅表淋巴结转移癌中的应用价值较高。

objective： to explore the application value of two-dimensional ultrasonography combined with color doppler ultrasonography in differential diagnosis of lymphoma lymph nodes and superficial lymph node metastasis carcinoma. Methods： from July 2015 to September 2017 in shifang people＇s hospital treated patients selected 21 cases of lymphoma patients with lymph node and 22 patients with superficial lymph node metastasis carcinoma as the research object. It was divided into lymphoma group and metastatic cancer group according to the different conditions. Two-dimensional ultrasonography combined with color doppler ultrasonography was performed in both groups. Then compared two groups of patients with lesions of the L/S（short length to diameter ratio）, shape, internal echo and blood flow to the lesion type（including hilus type blood flow, blood flow to the central type, peripheral blood flow and blood flow, etc.）. Results： the results of two-dimensional ultrasound examination showed that the proportion of patients with L/S 〈 2 in the two groups was P 〉 0.05. Lymphoma patients in irregular, focal lesions form internal medulla strong echo patients disappeared, and so on and so forth proportion were lower than that of patients with metastatic carcinoma group, including patients with lesions significantly reduce the situation of internal echoes in a much higher than in patients with metastatic carcinoma group, P〈0.05）. The results of color doppler ultrasonography showed that the proportion of patients with peripheral blood flow and no blood flow at the lesion in the two groups was P〉 0.05. Lymphoma patients blood types in the lesion of patients with type gate of lymphatic flow ratio higher than that of patients with metastatic carcinoma group, blood flow type is the central type of lesion of patients accounted for less than patients with metastatic carcinoma group, P〈 0.05）. Conclusion： two-dimensional ultrasonography combined with color doppler ultrasonography is of high value in differential diagnosis of lymphoma lymph nodes and superficial lymph node metastatic carcinoma.