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纵隔结核的内镜超声检查

Endoscopic ultrasound in mediastinal tuberculosis.

作者信息

Sharma Malay, Ecka Ruth Shifa, Somasundaram Aravindh, Shoukat Abid, Kirnake Vijendra

机构信息

Department of Gastroenterology, Jaswant Rai Speciality Hospital, Saket, Meerut, Uttar Pradesh, India.

Department of Gastroenterology, Kovai Medical Center and Hospital, Coimbatore, Tamil Nadu, India.

出版信息

Lung India. 2016 Mar-Apr;33(2):129-34. doi: 10.4103/0970-2113.177451.

DOI:10.4103/0970-2113.177451
PMID:27051097
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4797428/
Abstract

BACKGROUND

Tubercular lymphadenitis is the commonest extra pulmonary manifestation in cervical and mediastinal locations. Normal characteristics of lymph nodes (LN) have been described on ultrasonography as well as by Endoscopic Ultrasound. Many ultrasonic features have been described for evaluation of mediastinal lymph nodes. The inter and intraobserver agreement of the endosonographic features have not been uniformly established.

METHODS AND RESULTS

A total of 266 patients underwent endoscopic ultrasound guided fine needle aspiration and 134 cases were diagnosed as mediastinal tuberculosis. The endoscopic ultrasound location and features of these lymph nodes are described.

CONCLUSION

Our series demonstrates the utility of endoscopic ultrasound guided fine needle aspiration as the investigation of choice for diagnosis of mediastinal tuberculosis and also describes various endoscopic ultrasound features of such nodes.

摘要

背景

结核性淋巴结炎是颈部和纵隔最常见的肺外表现。超声以及内镜超声已描述了淋巴结（LN）的正常特征。已描述了许多用于评估纵隔淋巴结的超声特征。内镜超声特征的观察者间和观察者内一致性尚未统一确立。

方法与结果

共有266例患者接受了内镜超声引导下细针穿刺抽吸，134例被诊断为纵隔结核。描述了这些淋巴结的内镜超声定位和特征。

结论

我们的系列研究表明内镜超声引导下细针穿刺抽吸作为诊断纵隔结核的首选检查方法具有实用性，并且还描述了此类淋巴结的各种内镜超声特征。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a31/4797428/3ebe0d70ef7a/LI-33-129-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a31/4797428/b86fd5c6db2c/LI-33-129-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a31/4797428/3056d5908792/LI-33-129-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a31/4797428/203658646fe2/LI-33-129-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a31/4797428/4b0d9a65a848/LI-33-129-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a31/4797428/3ebe0d70ef7a/LI-33-129-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a31/4797428/b86fd5c6db2c/LI-33-129-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a31/4797428/3056d5908792/LI-33-129-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a31/4797428/203658646fe2/LI-33-129-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a31/4797428/4b0d9a65a848/LI-33-129-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a31/4797428/3ebe0d70ef7a/LI-33-129-g007.jpg

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本文引用的文献

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The imaging spectrum of pulmonary tuberculosis.肺结核的影像学表现谱
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Advances in imaging of tuberculosis: the role of ¹⁸F-FDG PET and PET/CT.结核病影像学进展：¹⁸F-FDG PET 和 PET/CT 的作用。
内镜超声引导下细针穿刺抽吸/活检在纵隔淋巴结病诊断中的应用——一项福音。
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Korean J Intern Med. 2018 Jan;33(1):36-63. doi: 10.3904/kjim.2017.212. Epub 2017 Nov 23.
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