纵隔及肺门淋巴结影像学特征对结节病的诊断价值。

IF 0.8 Q4 RESPIRATORY SYSTEM
Olcay Ayçiçek, Yılmaz Bülbül, Funda Öztuna, Tevfik Özlu, Selçuk Akkaya
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引用次数: 0

摘要

目的:探讨胸部计算机断层扫描这一无创方法对结节病的诊断价值。材料与方法:对2013年1月1日至2019年7月1日在我院胸科接受支气管内超声检查纵隔淋巴结取样及其他取样方法如纵隔镜、开胸等,无法获得组织病理学诊断的816例患者的资料进行回顾性筛查,其中结节病62例,非结节病192例。符合纳入标准的130例患者被纳入研究。诊断为结节病的患者和诊断为非结节病的患者在胸部计算机断层扫描的表现(中膈淋巴结和肺实质受累)方面进行比较。结果:结节病组右上气管旁(72.6 vs. 46.9%, P = 0.001)、主动脉旁淋巴结受累(79.0% vs. 60.8%, P = 0.01)、肺门对称(88.5 vs. 58.3%, P < 0.001)、淋巴结均匀性(80.6% vs. 56.9%, P = 0.001)明显高于结节病组。结节病组淋巴结大小较小,平均密度(51.3 Hounsfield单位比44.1 Hounsfield单位,P = 0.002)显著高于结节病组。在多因素logistic回归分析中,淋巴结存在均匀性增加结节病的可能性为4.3倍,存在肺门对称的为9.1倍,累及右下气管旁淋巴结的为2.7倍,平均淋巴结密度>48 Hounsfield单位的为4.3倍,最大淋巴结直径小于27.5 mm的为4.7倍。结论:本研究显示纵隔淋巴结的定位、大小、密度和均匀性有助于临床医生在不采用侵入性方法的情况下诊断结节病。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Diagnostic Value of Radiographic Characteristics of Mediastinal and Hilar Lymph Nodes in Sarcoidosis.

Diagnostic Value of Radiographic Characteristics of Mediastinal and Hilar Lymph Nodes in Sarcoidosis.

Diagnostic Value of Radiographic Characteristics of Mediastinal and Hilar Lymph Nodes in Sarcoidosis.

Diagnostic Value of Radiographic Characteristics of Mediastinal and Hilar Lymph Nodes in Sarcoidosis.

Objective: In this study, it was aimed to investigate the diagnostic value of thorax computed tomography, which is a non-invasive method, in diagnosing sarcoidosis.

Materials and methods: In our Faculty of Medicine, Department of Chest Diseases between January 1, 2013, and July 1, 2019, the data of 816 patients who underwent endobronchial ultrasonography for mediastinal lymph node sampling and other sampling methods, such as mediastinoscopy, thoracotomy, etc., if the histopathological diagnosis could not be reached, were retrospectively screened and 192 patients (sarcoidosis: 62, non-sarcoidosis: 130 patients) who met the inclusion criteria were included in the study. Patients diagnosed with sarcoidosis and patients diagnosed with non-sarcoidosis were compared in terms of thorax computed tomography findings (medi- astinal lymph nodes and lung parenchymal involvement).

Results: Right upper paratracheal (72.6 vs. 46.9%, P = .001) and paraaortic lymph node involvement (79.0% vs. 60.8%, P = .01), hilar symmetry (88.5 vs. 58.3%, P < .001), and homogeneity in lymph nodes (80.6% vs. 56.9%, P = .001) were found to be significantly higher in the sarcoidosis group. Lymph node sizes were smaller in the sarcoidosis group and the mean density (51.3 Hounsfield unit vs. 44.1 Hounsfield unit, P = .002) was significantly higher. In the multivariate logistic regression analysis, the presence of homogeneity in the lymph nodes is 4.3-fold more likely to increase sarcoidosis, the presence of hilar symmetry 9.1-fold, the involvement of the right lower paratracheal lymph node 2.7-fold, the mean lymphadenopathy density >48 Hounsfield unit 4.3-fold, the maximum diameter of lymphadenopathy less than 27.5 mm 4.7-fold.

Conclusion: This study revealed that the localization, size, density, and homogeneity of mediastinal lymph nodes will help clinicians to diagnose patients with sarcoidosis without using invasive methods.

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来源期刊
Turkish Thoracic Journal
Turkish Thoracic Journal Medicine-Pulmonary and Respiratory Medicine
CiteScore
1.40
自引率
11.10%
发文量
2
期刊介绍: Turkish Thoracic Journal (Turk Thorac J) is the double-blind, peer-reviewed, open access, international publication organ of Turkish Thoracic Society. The journal is a quarterly publication, published on January, April, July, and October and its publication language is English. Turkish Thoracic Journal started its publication life following the merger of two journals which were published under the titles “Turkish Respiratory Journal” and “Toraks Journal” until 2007. Archives of both journals were passed on to the Turkish Thoracic Journal. The aim of the journal is to convey scientific developments and to create a dynamic discussion platform about pulmonary diseases. With this intent, the journal accepts articles from all related scientific areas that address adult and pediatric pulmonary diseases, as well as thoracic imaging, environmental and occupational disorders, intensive care, sleep disorders and thoracic surgery. Clinical and research articles, reviews, statements of agreement or disagreement on controversial issues, national and international consensus reports, abstracts and comments of important international articles, interesting case reports, writings related to clinical and practical applications, letters to the editor, and editorials are accepted.
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