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颈部结核性淋巴结炎CT表现
Cervical Tuberculous Lymphadenitis:CT Manifestations
【摘要】 目的: 研究颈部淋巴结结核的 C T 表现。方法:对18 例病理证实为颈部淋巴结结核病人的术前 C T 进行回顾性分析,评价病变 C T 表现,增强类型,及周围脂肪间隙。结果:颈部结核性淋巴结炎 C T 表现:(1 ) 密度不均多见,约72 .22 % (13/18 ) ,呈规则环状强化或环状强化伴有壁结节;(2) C T 值平扫约28 ~37 H U ,增强中心62 ~77 H U ,环壁91 H U ;(3) 多发结节融合伴周围脂肪间隙闭塞,占6 6 .67 % (12/18 ) 。结论:颈部结核性淋巴结炎 C T 表现为密度不均,环状强化及多发结节融合伴周围脂肪间隙闭塞。
【Abstract】 Objective:To study CT manifestations of cervical tuberculous lymphadenitis.Methods:The CT findings,enhanced patterns and extranodal fat space of eighteen patients with cervical tuberculous lymphadenitis were analysed and evaluated.Results:The CT manifestations of cervical tuberculous lymphadenitis were:1.The density of nodes were inhomogeneous in 72.22%(13/18),rim enhancement and/or with wall nodes;2.The CT value was 28~37 HU,after contrast enhancement the CT attenuation was 62~77 HU,at center and 91 HU at rim wall;3.The nodes mixed together as masses and as the extranodal fat spaces were disapeared in 66.67(12/18).Conclusion:CT manifestations of cervical tuberculous lymphadenitis are:in homogeneous density of nodes,rim enhancement,nodes mixed together as masses and surrounding fat space disappeared.