【摘要】 目的 探討高頻彩色多普勒超聲對淺表軟組織腫物的診斷價值。 方法 回顧性分析2008年1-11月70例經(jīng)手術、活檢病理證實的淺表軟組織腫物的聲像圖特征，包括腫物的部位、形態(tài)大小、內(nèi)部回聲、邊界及其與周邊組織的關系、長徑與厚度比值（L/T）及病變周邊與內(nèi)部血流分布情況。 結果 超聲對淺表腫塊病灶的顯示率為100%，良性腫瘤有脂肪瘤、表皮囊腫、滑膜囊腫、神經(jīng)鞘瘤，血管瘤、異物肉芽腫等，惡性腫物包括皮膚纖維肉瘤，轉移性腺癌。 結論 彩色多普勒超聲對淺表腫塊的檢出、定位及物理性質可做出準確的診斷，綜合分析腫物的邊界、形態(tài)、內(nèi)部回聲及血流分布等特點對腫物的良惡性診斷具有重要價值。
【Abstract】 Objective To evaluate the value of high-frequency color Doppler ultrasonography in diagnosing the superficial soft tissue masses. Methods The clinical data of 70 patients with superficial soft tissue masses from January to November 2008 were retrospectively analyzed. Superficial soft tissue masses was diagnosed by the surgery and biopsy. The sonographic features, including the location, morphology, size, internal echo, boundary, relationship with peripheral tissues, longitude to transverse ratio (L/T), and the vascularity, were observed. Results The results of sonographic examination showed that 100% superficial masses could be found. Benign masses included lipoma, sebaceous cysts, synovial cysts, nerve sheath tumors, haemangioma, foreign body granulomas, etc. Malignant soft tissue tumors included fibrous sarcoma and metastatic neoplasms. Conclusion Color Doppler ultrasonography can precisely diagnose the presence, localization and the physical characters of superficial soft tissue masses. It is an excellent modality to diagnose the benign or malignant masses by analyzing the boundary, configuration, internal echo and vascularity of the masses.
引用本文： 王宇,顧新剛,沈惠芳,王晶晶. 彩色多普勒超聲對淺表軟組織腫物的診斷價值. 華西醫(yī)學, 2010, 25(12): 2206-2209. doi: 復制
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| 2. | Hwang S, Adler RS. Sonographic evaluation of the musculoskeletal soft tissue masses[J]. Ultrasound Q，2005, 21(4): 259-270. |
| 3. | Belli P, Costantini M, Mirk P, et al. Role of color Doppler sonography in the assessment of musculoskeletal soft tissue masses[J]. Ultrasound Med，2000, 19(12): 823-830. |
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- 1. 周永昌, 郭萬學. 超聲醫(yī)學[M]. 3版. 北京: 科學技術出版社, 1998: 1278-1281.
- 2. Hwang S, Adler RS. Sonographic evaluation of the musculoskeletal soft tissue masses[J]. Ultrasound Q，2005, 21(4): 259-270.
- 3. Belli P, Costantini M, Mirk P, et al. Role of color Doppler sonography in the assessment of musculoskeletal soft tissue masses[J]. Ultrasound Med，2000, 19(12): 823-830.
- 4. 許東陽, 王學梅. 淺表軟組織腫物的超聲診斷與分析[J]. 遼寧醫(yī)學雜志, 2007, 21(1): 42-44.
- 5. 劉彤華. 診斷病理學[M]. 北京: 人民衛(wèi)生出版社，1994：727.
- 6. 陳漫宇, 趙亮, 胡元平. 高頻彩超對淺表軟組織腫塊的診斷價值[J]. 中國醫(yī)師雜志, 2005, 7(7): 966.