中国内镜杂志2017，Vol.23Issue(8)：1-6,6.DOI:10.3969/j.issn.1007-1989.2017.08.001
气道内超声特征在纵隔淋巴结结核与结节病鉴别诊断中的作用
Endobronchial ultrasound in differential diagnosis of mediastinal tubercular lymphadenopathy and sarcoidosis
摘要
Abstract
Objective Study the endobronchial ultrasound features of mediastinal tubercular lymphadenopathy and sarcoidosis to probe a new method for the differential diagnosis. Methods The endobronchial ultrasound features of 74 lymph nodes in 16 mediastinal tubercular lymphadenopathy and 30 sarcoidosis patients diagnosed in our department were studied retrospectively, and the sizes, borders, fusion and echo features of mediastinal tubercular lymphadenopathy were compared to sarcoidosis. Results Both of the long size and the short size of mediastinal tubercular lymphadenopathy were smaller than sarcoidosis [(15.77 ± 4.10) vs (19.76 ± 5.83), t = 3.28, P = 0.021;(12.67 ± 4.09) vs (16.81 ± 5.54), t = 3.56, P = 0.001]. And the following features were statistically significant of tubercular lymphadenopathy as compared to sarcodosis: indistinct borders, fusion of lymph nodes, hyperechoic echotexture and patchy anechoic/hypoechoic areas [50.0% (11/22) vs 17.3% (9/52), χ2 = 8.38, P = 0.004; 18.2%(4/22) vs 0.0% (0/52), P = 0.008; 50.0% (11/22) vs 0.0% (0/52), P = 0.000; 63.6% (14/22) vs 0.0% (0/52), P = 0.000, respectively). However, there was no significant difference in the existence of central hilar structure [9.1% (2/22) vs 19.2% (10/52), P = 0.491] between mediastinal tubercular lymphadenopathy and sarcoidosis. Conclusions The endobronchial ultrasound features of mediastinal lymph nodes, including sizes, borders, fusion, hyperechoic echotexture and patchy anechoic/hypoechoic areas are helpful in the differential diagnosis of mediastinal tubercular lymphadenopathy and sarcoidosis.关键词
气道内超声/结节病/淋巴结结核Key words
endobronchial ultrasound/sarcoidosis/mediastinal tubercular lymphadenopathy分类
医药卫生引用本文复制引用
王昌国,曾大雄,蒋军红,黄建安..气道内超声特征在纵隔淋巴结结核与结节病鉴别诊断中的作用[J].中国内镜杂志,2017,23(8):1-6,6.基金项目
国家临床重点专科建设项目(No :2012) （No :2012）
江苏省社会发展 - 临床前沿技术(No :BE2016672) （No :BE2016672）
