摘要
目的总结腹部结内淋巴瘤的超声图像特点，为临床诊疗提供依据。方法回顾性分析我院2010年9月至2013年12月收治的50例因腹部淋巴结肿大或腹部包块起病的淋巴瘤患者的临床资料，总结其超声图像特点。结果全部观察对象中，伴腹胀、腹痛24例，下肢浮肿4例，腰背部疼痛5例，腹泻4例，浅表淋巴结肿大12例，伴有6个月内体重减轻10％以上、盗汗、发热持续3日达38℃以上者11例。根据AnnArbor分期，I期4例、Ⅱ期5例、Ⅲ期12例、Ⅳ期26例，3例未分期。实验室检查：16例B2微球蛋白升高，2l例乳酸脱氢酶升高，15例血沉加快，3例结核菌素实验阳性。单发包块型占34．0％（17／50），大于10cm的巨型包块11例，17例单发包块型患者包块位置均位于腹膜后或肠系膜根部。结论超声诊断有利于早期诊断腹部结内淋巴瘤，总结受累病灶的特征及临床表现可为该病诊疗提供参考。
Objective To provide some references for diagnosing and treating the lymphoma in abdominal lymph nodes summarizing its sonographic features. Methods The clinical data and sonographic findings of 50 lymphoma patients with original appearance of abdominal mass or lymphadencetasis were retrospectively collected and analyzed from September, 2010 to December, 2013. Results Among the 50 cases, 24 had abdominal distension and pain, 4 swell of lower limbs, 5 low back pain, 4 diarrhea, 12 superficial lymph node enlargement, and Ⅱ body mass loss over 10% within 6 months, night sweating, and an over 38℃ fever for 3 days. According to AnnArbor staging, there were 4 cases of stage I, 5 stage Ⅱ , 12 stage Ⅲ , 26 stage Ⅳ , and 3 no stage. Laboratory tests showed that β 2-micrnglohulin increased in 16 cases, lactate dehydrogenase increased in 21 cases, erythroeyte sedimentation rate got faster in 15 cases, tuberculin test was positive in 3 cases. Single package block type accounted for 34.0% （17/50）. The giant mass of 11 cases was over 10 cm. The mass position of the 17 eases of single block type Ioeated in retroperitoneal and mesenterie root. Conclusions Ultrasonography is helpful for early diagnosing the lymphoma in abdominal lymph nodes and can provide some references for its diagnosis and treatment.
出处
《国际医药卫生导报》
2014年第24期3798-3801,共4页
International Medicine and Health Guidance News
关键词
腹部淋巴结
超声
淋巴瘤
Abdo,ninal lymph node
Uhrasonography
Lymphoma
