64排螺旋CT对纵隔淋巴结结核和纵隔淋巴瘤的鉴别价值

64排螺旋CT对纵隔淋巴结结核和纵隔淋巴瘤的鉴别价值

李华;赵龙华

【期刊名称】《中国实用医刊》 【年(卷),期】2011(038)011

【摘要】Objective To study the value of 64-slice spiral CT in differential diagnosis of mediastinal tuberculous lymphadenitis and mediastinal lymphoma. Methods To perform the entire lung volume CT scanning on 20 patients of mediastinal tuberculous lymphadenitis and 15 patients of mediastinal lymphoma, and make a strengthening analysis of lymph node features and CT findings in the lesion area of all patients. Results Mediastinal tuberculous lymphadenitis is easily found in 10 area with uneven density, usually-occurred calcification, rare combination of lymph node, rim or uneven enhancement, and chest primary foci; mediastinal lymphoma is frequently found in R 2 and 3 area with even density, rare calcification, usually-occurred combination of lymph node, commonly enhancement and so on. Conclusions 64-slice spiral CT has an obvious advantage of detail display on multiple mediastinal tuberculous lymphadenitis and mediastinal lymphoma.%目的 探讨64排螺旋CT在纵隔淋巴结结核与纵隔淋巴瘤中的鉴别价值.方法 20例纵隔淋巴结结核和15例纵隔淋巴瘤患者均行全肺容积扫描,所有患者均强化分析病变区淋巴结特征及CT表现.结果 纵隔淋巴结结核好发于10区、密度多不均匀、钙化多见、淋巴结融合少见、环状或不均匀强化、胸部原发灶等;纵隔淋巴瘤多好发