[1]杨琴慧,李志东,陈 力.超声诊断木村病的临床价值[J].医学信息,2019,32(12):165-168.[doi:10.3969/j.issn.1006-1959.2019.12.056]
　YANG Qin-hui,LI Zhi-dong,CHEN Li.Clinical Value of Ultrasound Diagnosis of Kimura's Disease[J].Journal of Medical Information,2019,32(12):165-168.[doi:10.3969/j.issn.1006-1959.2019.12.056]
点击复制

超声诊断木村病的临床价值()
分享到：

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
32卷
期数:
2019年12期
页码:
165-168
栏目:
诊疗技术
出版日期:
2019-06-15

文章信息/Info

Title:
Clinical Value of Ultrasound Diagnosis of Kimura's Disease
文章编号:
1006-1959（2019）12-0165-04
作者:
杨琴慧; 李志东; 陈 力
防城港市第一人民医院超声科，广西 防城港 538021
Author(s):
YANG Qin-hui; LI Zhi-dong; CHEN Li
Department of Ultrasound,the First People's Hospital of Fangchenggang,Fangchenggang 538021,Guangxi,China
关键词:
超声检查; 木村病; 嗜酸性粒细胞百分比
Keywords:
Key words：Ultrasonography; Kimura's disease; Percentage of eosinophils
分类号:
R445.1；R597
DOI:
10.3969/j.issn.1006-1959.2019.12.056
文献标志码:
A
摘要:
目的 探讨超声诊断木村病的临床价值。方法 回顾性分析2009年7月~2017年1月经我院穿刺活检或手术病理证实的22例木村病患者临床资料，分析其临床表现、超声声像图特点及病理学表现。结果 22例患者中，17例为男性。35个病灶中，29个位于头颈部，4个位于上臂，1个位于腹股沟，1个位于腋窝。16例多发，6例单发。17例表现为低回声，3例为稍高回声，2例为混合回声。7例患者内病灶血流较丰富为Ⅱ~Ⅲ级，4例血流为Ⅲ，3例血流为Ⅱ，6例血流为Ⅰ级，1例血流为0级，1例血流为Ⅰ~Ⅱ级。血常规检查中，6例患者白细胞增高， 16例患者在正常范围。17例患者嗜酸性粒细胞及嗜酸性粒细胞绝对值计数增加。10例行血清IgE检查，血清IgE升高9例。各部位病灶主体及淋巴结镜下病变呈分叶状，可见增生的淋巴组织，淋巴组织内可见淋巴滤泡结构，生发中心及套区结构清楚，滤泡间区淋巴细胞间散在分布大量嗜酸性粒细胞，小血管增生明显，但未见上皮样血管内皮增生，嗜酸性粒细胞局部呈嗜酸性脓肿样改变。结论 根据木村病的超声特有表现，多发于男性，病程较长，超声于头颈部皮下软组织内发现淋巴结肿大或边界不清的“斑块状”团块，血供较丰富，实验室检查外周血嗜酸性粒细胞增多，血清IgE升高，结合病史和实验室检查有助于木村病的提示诊断和鉴别诊断，并利用超声检查重复性好等优势随时观察病情变化及临床治疗效果。
Abstract:
Abstract：Objective To investigate the clinical value of ultrasound in the diagnosis of Kimura's disease.Methods The clinical data of 22 patients with Kimura's disease confirmed by biopsy or pathology in our hospital from July 2009 to January 2017 were retrospectively analyzed. The clinical manifestations, sonographic features and pathological findings were analyzed. Results Of the 22 patients, 17 were male. Of the 35 lesions, 29 were located in the head and neck, 4 in the upper arm, 1 in the groin, and 1 in the armpit. 16 cases were multiple and 6 cases were single. 17 cases showed low echo, 3 cases had slightly higher echoes, and 2 cases had mixed echoes. The blood flow of the lesions in the 7 patients was grade Ⅱ~Ⅲ, the blood flow was Ⅲ in 4 cases, the blood flow was II in 3 cases, the blood flow was grade I in 6 cases, the blood flow was grade 0 in 1 case, and the blood flow was 1 in 1 case. Ⅰ~Ⅱ level. In routine blood tests, 6 patients had elevated white blood cells and 16 patients were in the normal range. The absolute counts of eosinophils and eosinophils increased in 17 patients. 10 patients underwent serum IgE and serum IgE increased in 9 patients. The lesions in each part and the lesions in the lymph nodes were lobulated, and the proliferating lymphoid tissues were visible. Lymphoid follicular structures were observed in the lymphoid tissues. The germinal center and the cuff structure were clear, and a large number of eosinophils were scattered between the lymphocytes in the interfollicular region. Cells, small blood vessels proliferated significantly, but no epithelioid vascular endothelium hyperplasia, eosinophils showed eosinophilic abscess-like changes. Conclusion According to the unique manifestations of ultrasound in Kimura's disease, it occurs mostly in men, and the course of disease is longer. Ultrasound is found in the subcutaneous soft tissue of the head and neck. The lymph nodes are swollen or the borders are unclear. The plaque-like mass is rich in blood supply. Laboratory examination peripheral blood eosinophilia, elevated serum IgE, combined with medical history and laboratory tests to help the diagnosis and differential diagnosis of Kimura's disease, and the use of ultrasound to check the reproducibility and other advantages at any time to observe changes in the condition and clinical treatment.

参考文献/References:

[1]吴汤娜,刘秉彦,符圣欣.阴囊内木村病超声表现1例[J].中国超声医学杂志,2018,34(7):654． [2]师明阳,李冰.木村病及其肾损害临床研究进展[J].哈尔滨医科大学学报,2015,49(2):177-180. [3]梁德志,覃业志,莫森林.木村病的影像学诊断[J].中国CT和MRI杂志,2016,14(12):133-136. [4]孙国臣,刘峰,孙彦,等.37例木村病临床分析[J].临床耳鼻咽喉头颈外科杂志,2018,32(10):782-786. [5]Wang Z,Zhang J,Ren Y,et al.Successful treatment of recurrent Kimura's disease with radiotherapy:a case report[J].Int J Clin Exp Pathol,2014,7(7):4519-4522. [6]李娇,赵锐,朱鑫,等.头颈部木村病的临床分析[J].中国耳鼻喉颅底外科杂志,2018,24(6):544-546. [7]刘立梅,高清平,王则胜,等.木村病45例临床分析[J].内科急危重症杂志,2015,21(2):101-104. [8]丁峰,刘春红,李兴福,等.木村病12例临床分析[J].中华风湿病学杂志,2007,11(4):225-228． [9]蒋山姗,洪桂洵,王显龙,等.木村病的影像诊断及临床特点[J].罕见疾病杂志,2013,20(6):33-36. [10]Buder K,Ruppert S,Trautmann A,et a1.Angiolymphoid hyperplasia with eosinophilia and Kimura's disease-a clinical and histopathological comparison[J].J Dtsch Dermatol Ges,2014,12(3):224-228. [11]林晓,应莉,谢作流,等.木村病的超声诊断价值[J].中国超声医学杂志,2016,32(6):569-572. [12]周强,夏兆云.颈部、颌面部木村病的临床及CT表现[J].医学影像学杂志,2017,27(2):357-360. [13]黄伟钦,唐丽娜,沈友洪,等.超声对木村病的诊断价值[J].中国医学杂志,2015,95(37):3054-3056.

相似文献/References:

[1]罗 友,覃开凤,王小红.小颌畸形的产前超声诊断评价分析[J].医学信息,2018,31(04):160.[doi:10.3969/j.issn.1006-1959.2018.04.060]
　LUO You,QIN Kai-feng,WANG Xiao-hong.Evaluation of Prenatal Ultrasound Diagnosis of Maxillary Malformation[J].Journal of Medical Information,2018,31(12):160.[doi:10.3969/j.issn.1006-1959.2018.04.060]
[2]何佳妹.彩超对肝内三种常见强回声病灶的鉴别与诊断研究[J].医学信息,2018,31(12):160.[doi:10.3969/j.issn.1006-1959.2018.12.051]
　HE Jia-mei.Differentiation and Diagnosis of Three Common Strong Echo Lesions in Liver by Color Doppler Ultrasound[J].Journal of Medical Information,2018,31(12):160.[doi:10.3969/j.issn.1006-1959.2018.12.051]
[3]张 琦,杜丽娟,唐 震.结合X线和超声的神经网络在乳腺检查的应用[J].医学信息,2018,31(13):9.[doi:10.3969/j.issn.1006-1959.2018.13.003]
　ZHANG Qi,DU Li-juan,TANG Zhen.Application of Neural Network Combined with X-ray and Ultrasound in Breast Examination[J].Journal of Medical Information,2018,31(12):9.[doi:10.3969/j.issn.1006-1959.2018.13.003]
[4]李 慧.应变率弹性成像及剪切波弹性成像对TI-RADS 4类 甲状腺结节的诊断价值对比[J].医学信息,2018,31(14):164.[doi:10.3969/j.issn.1006-1959.2018.14.051]
　LI Hui.Comparison of the Diagnostic Value of Strain Rate Elastography and Shear Wave Elastography in TI-RADS Type 4 Thyroid Nodules[J].Journal of Medical Information,2018,31(12):164.[doi:10.3969/j.issn.1006-1959.2018.14.051]
[5]陈玉媛,易爱姣,谭齐鸣,等.中青年冠状动脉粥样硬化患者颈动脉硬化的超声特征[J].医学信息,2019,32(02):175.[doi:10.3969/j.issn.1006-1959.2019.02.054]
　CHEN Yu-yuan,YI Ai-jiao,TAN Qi-ming,et al.Ultrasound Characteristics of Carotid Atherosclerosis in Young and Middle-aged Patients with Coronary Atherosclerosis[J].Journal of Medical Information,2019,32(12):175.[doi:10.3969/j.issn.1006-1959.2019.02.054]
[6]宋旭光,许华宁,何玉冰,等.乳腺导管内乳头状瘤超声诊断回顾性分析[J].医学信息,2018,31(23):155.[doi:10.3969/j.issn.1006-1959.2018.23.045]
　SONG Xu-guang,XU Hua-ning,HE Yu-bing,et al.Retrospective Analysis of Ultrasound Diagnosis of Intraductal Papilloma of the Breast[J].Journal of Medical Information,2018,31(12):155.[doi:10.3969/j.issn.1006-1959.2018.23.045]
[7]王 静,高文莲.永存左上腔静脉的产前超声诊断评价[J].医学信息,2019,32(09):168.[doi:10.3969/j.issn.1006-1959.2019.09.057]
　WANG Jing,GAO Wen-lian.Prenatal Ultrasound Diagnosis of Permanent Left Superior Vena Cava[J].Journal of Medical Information,2019,32(12):168.[doi:10.3969/j.issn.1006-1959.2019.09.057]
[8]董智芬,郭建锋.边缘不光整乳腺癌的超声图像分析[J].医学信息,2020,33(09):152.[doi:10.3969/j.issn.1006-1959.2020.09.051]
　DONG Zhi-fen,GUO Jian-feng.Ultrasound Image Aanalysis of Breast Cancer with Irregular Edge[J].Journal of Medical Information,2020,33(12):152.[doi:10.3969/j.issn.1006-1959.2020.09.051]
[9]李喜艳,李林泽,张 涛.超微血管成像在痛风患者滑膜血管检测中的应用[J].医学信息,2023,36(03):109.[doi:10.3969/j.issn.1006-1959.2023.03.022]
　LI Xi-yan,LI Lin-ze,ZHANG Tao.Application of Superb Microvascular Imaging in the Detection of Synovial Blood Vessels in Patients with Gout[J].Journal of Medical Information,2023,36(12):109.[doi:10.3969/j.issn.1006-1959.2023.03.022]
[10]张月倩.维持性血液透析患者心脏瓣膜钙化的评价及影响因素研究[J].医学信息,2023,36(03):125.[doi:10.3969/j.issn.1006-1959.2023.03.025]
　ZHANG Yue-qian.Evaluation and Influencing Factors of Cardiac Valve Calcification in Maintenance Hemodialysis Patients[J].Journal of Medical Information,2023,36(12):125.[doi:10.3969/j.issn.1006-1959.2023.03.025]

更新日期/Last Update: 2019-06-15