淋巴结结核

Objective To evaluate the research of needle aspirate cytology of lymph node in the diagnosis of the typing of tuberculous lymphadenitis and the function of the typing to improve the accurate rate in diagnosis.

王 颖1，王永才1，赵成艳1，李海东目的探讨淋巴结针吸细胞病对淋巴结核早期诊断的，提高淋巴结核诊断准确率。

Results Tuberculosis lymph gland inflammation coverd highest rate:546 cases (36%) in tuberculosis node was 252 cases (46.2%),lymphonode period was 184 cases (33.7%),early tuberculosis lymphagland inflammation was 233 cases (44.7%).Metastasis cancer followed it:430 cases (28.3%) in which undivided cancer was 156 cases (32.3%),glandular cancer 132 cases (30.7%),epithelial cancer 114 cases (26.3%), chronic lymph glandular inflammation was 352 cases,Non-Hodgkin's lymph-tumor 98 cases (6.5%) in which B lymphocyte type covered 70 cases (71.4%),T lymphocyte covered 17 cases (17.3%),NK cells type covered 11 cases (11.3%) tumor were sacrce.

结果 结核性淋巴腺炎发病率最高，有546例(36.0%)，结核结节期为主，252例(46.2%)，淋巴结节期184例(33.7%)，其中早期结核性淋巴腺炎233例(44.7%)，转移癌次之有430例(28.3%)，其中以未分化癌为主，156例(32.3%)，腺癌132例(30.7%)，鳞癌114例(26.3%)，而慢性淋巴腺炎352例，占第三位，非霍奇金淋巴瘤98例(6.5%)，以B淋巴细胞型为主70例(71.4%)，T淋巴细胞型17例(17.3%)，NK细胞型11例(11.3%)，其中肿瘤较少见。

Results Tuberculosis lymph gland inflammation coverd highest rate:546 cases (36%) in which tuberculosis node was 252 cases (46.2%),lymphonode period was 184 cases (33.7%),early tuberculosis lymphagland inflammation was 233 cases (44.7%).Metastasis cancer followed it:430 cases (28.3%) in which undivided cancer was 156 cases (32.3%),glandular cancer 132 cases (30.7%),epithelial cancer 114 cases (26.3%), chronic lymph glandular inflammation was 352 cases,Non-Hodgkin's lymph-tumor 98 cases (6.5%) in which B lymphocyte type covered 70 cases (71.4%),T lymphocyte covered 17 cases (17.3%),NK cells type covered 11 cases (11.3%) tumor were sacrce.

结果 结核性淋巴腺炎发病率最高，有546例(36.0%)，结核结节期为主，252例(46.2%)，淋巴结节期184例(33.7%)，其中早期结核性淋巴腺炎233例(44.7%)，转移癌次之有430例(28.3%)，其中以未分化癌为主，156例(32.3%)，腺癌132例(30.7%)，鳞癌114例(26.3%)，而慢性淋巴腺炎352例，占第三位，非霍奇金淋巴瘤98例(6.5%)，以B淋巴细胞型为主70例(71.4%)，T淋巴细胞型17例(17.3%)，NK细胞型11例(11.3%)，其中肿瘤较少见。

Among them, males(39 cases), female (17 cases). Results:The primary lesions of pulmonary tuberculosis(56 cases), tuberculous cavity(38 cases), caseous pueumonia(40 cases), tuberculous pleurity(20 cases), bronchi , hilar and mediastimal enlarged lymph nodes(17 cases), miliary tuberculosis (5 cases).

结果：肺内原发病灶56例，结核性空洞38例，干酪性肺炎40例，结核性胸膜炎20例，支气管旁、肺门及纵隔淋巴结肿 17例，粟粒性肺结核5例。

Objective:To compare the CT findings of mediastinal lymph nodes in tuberculous pleurisy and non-tuberculous pleurisy.

目的：比较儿童结核性与非结核性纵隔淋巴结的CT表现，初步探讨纵隔淋巴结肿大组数对二者的鉴别诊断价值。

The article describes the clinical application of the Radix ranunculi ternati capsules in treating pulmonary tuberculosis,crewels, tuberculosis of epididymis and axillary nodes reaction after inoculating Bacillus Calmette-Guerin in recent years and think deep study.

部颁药品猫爪草胶囊近年来在治疗肺结核、淋巴结核、附睾结核以及接种卡介苗引起的腋窝淋巴结反应等方面有广泛应用，应进一步深入研究。

The inflammation reaction hyperplactic stage and lymphatic nodular stage are of nonspecific morphological changes and should be diagnosed with the help of positive tuberculin test and obvious increase of adenosine deaninase ; tuberculous nodular stage has a great number of epithelioid cells,and Langhans cells, caseous necrosis stage is characterized by a great deal of necrotic tissue and debris,a small number of fragmented epithelioid cells, and mainly by antiacid bacteria fibrinous hyperplastic stage is featured by a few fibrous tissue, cells and mucous oweing to hardness to get puncture, neans tuberculous restoration,and scar formation.

结核初期-炎性增殖期60例，占5.5%；结核早期-淋巴结节期130例，占11.9%；结核中期-结核性结节期有590例，占54.1%；结核晚期-干酪样脓样坏死期有280例，占25.7%；结核恢复期-纤维素增殖期30例，占2.8%。炎性增殖反应期非特异性形态学变化，需要结合结核抗体阳性和腺苷酸脱氨酶明显增高有助于诊断，结核结节期主要可有较多类上皮样细胞及郎罕氏细胞；而干酪样脓样坏死主要见大量坏死组织及碎屑、少数残碎不全类上皮样细胞，此期主要能查到抗酸菌为特点；纤维增殖期，抽出物难取，仅见少数纤维组织、纤维细胞和黏液间质为其特征，提示结核恢复、瘢痕形成所致。

One hundred and six patients with cervical lymphadenopathy underwent color Doppler flow studies. The lymph node lesions were divided into four groups: reactive nodes, tuberculosis nodes, lymphadenoma and metastatic nodes. The vascular patterns of hilar type, central type, peripheral type and mixed type were assessed.

应用高频彩色多普勒超少诊断仪，观察106例淋巴结，将肿大淋巴结分为4组，反应性增生淋巴结、结核性淋巴结、淋巴瘤、转移性淋巴结，将血供模式分为淋巴门型、中央型、边缘型、混合型。

MethodOne hundred and six patients with cervical lymphadenopathy underwent color Doppler flow studies.The lymph node lesions were divided into four groups:reactive nodes,tuberculosis nodes,lymphadenoma and metastatic nodes.The vascular patterns of hilar type,central type,peripheral type and mixed type were assessed.

应用高频彩色多普勒超少诊断仪，观察106例淋巴结，将肿大淋巴结分为4组，反应性增生淋巴结、结核性淋巴结、淋巴瘤、转移性淋巴结，将血供模式分为淋巴门型、中央型、边缘型、混合型。

Tuberculous lesions were identified in 27 cattle (47.4%; n = 57) with the evidence on gross and/or microscopic examination in 1 or more sites. The most frequently affected site was retropharyngeal lymph node, followed by mediastinal lymph node, hilar lymph node, and mesenteric lymph node.

结果显示，所收集的结核菌素检测阳性牛中，有 27 头（47.4%； n = 57）在肉眼或／及显微检查下发现有结核样病灶，其中最常出现病变的位置为咽背淋巴结，其次依序为纵膈淋巴结、肺门淋巴结和肠系膜淋巴结。

I didn't watch TV last night, because it .

昨晚我没有看电视，因为电视机坏了。

Since this year, in a lot of villages of Beijing, TV of elevator liquid crystal was removed.

今年以来，在北京的很多小区里，电梯液晶电视被撤了下来。