【摘要】 目的 探討腎上腺髓樣脂肪瘤的彩色多普勒超聲表現(xiàn)和超聲診斷價(jià)值。 方法 回顧性分析2005年3月-2010年9月58例61個(gè)經(jīng)手術(shù)及病理證實(shí)的腎上腺髓脂肪瘤病灶的彩色多普勒超聲表現(xiàn)，對(duì)病變的大小、內(nèi)部回聲特點(diǎn)及血流特點(diǎn)進(jìn)行分析。 結(jié)果 在2005年3月-2007年12月的28個(gè)病灶超聲診斷出腎上腺病變23個(gè)，正確率82.1%；診斷為髓脂肪瘤2個(gè)，正確率7.1%；漏診1個(gè)，誤診4個(gè)。2008年1月-2010年9月，33個(gè)病灶超聲診斷出腎上腺病變30個(gè)，正確率90.9%；診斷為髓脂肪瘤19個(gè)，正確率57.6%；無漏診，誤診3個(gè)。52個(gè)病灶超聲表現(xiàn)為邊界清晰，形態(tài)基本規(guī)則，內(nèi)部呈均勻中等強(qiáng)回聲（與腎集合系統(tǒng)回聲相當(dāng)），內(nèi)部未測(cè)及血流信號(hào)， 另8個(gè)病灶表現(xiàn)為中等強(qiáng)回聲與低回聲相間。 結(jié)論 腎上腺髓樣脂肪瘤具有特征性的彩色多普勒超聲聲像圖表現(xiàn)， 可用于發(fā)現(xiàn)病變并對(duì)多數(shù)腎上腺髓樣脂肪瘤做出定性診斷。
【Abstract】 Objective To evaluate the value of sonographic diagnosis of adrenal myelolipoma. Methods Sonographic findings from 58 patients with pathologically proved adrenal myelolipoma from March 2005 to September 2010 were retrospectively analyzed. The size of the lesion, internal echo features, and characteristics of blood flow were observed and analyzed. Results In 28 patients with pathologically proved adrenal myelolipoma from March 2005 to December 2007, adrenal lesions was diagnosed in 23 with an accurate rate of 82.1%; adrenal myelolipoma was diagnosed in two with an accurate rate of 7.1%; missed diagnosed in one; misdiagnosed was in four. In 33 patients with pathologically proved adrenal myelolipoma from January 2008 to September 2010, adrenal lesions was diagnosed in 30 with an accurate rate of 90.9%; adrenal myelolipoma was diagnosed in 19 with an accurate rate of 57.6%; no missed diagnosed occurred; misdiagnosed was in three. The sonographic features in 52 lesions were smooth borders and homogeneous hyperechoic; no color Doppler flow signal inside was detected. Conclusion Adrenal myelolipoma has special sonographic features. Ultrasonography is a reliable imaging method for the diagnosis of adrenal myelolipoma.
引用本文： 全杰榮,羅燕,文曉蓉,林玲,邱邐,李朝霞. 腎上腺髓脂肪瘤的彩色多普勒超聲診斷. 華西醫(yī)學(xué), 2010, 25(11): 1969-1971. doi: 復(fù)制
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- 1. 滕東海, 盧一平, 田靜, 等. 腎上腺髓樣脂肪瘤(附28例報(bào)告) [J]. 華西醫(yī)學(xué), 2009, 24(6): 1398-1400.
- 2. 李朝霞, 彭玉蘭, 莊華. 腎上腺腫瘤超聲漏診及誤診分析 [J]. 華西醫(yī)學(xué), 2009, 24(2): 307-309.
- 3. 徐鐘慧, 姜玉新, 李建初, 等. 腎上腺髓樣脂肪瘤的超聲診斷[J]. 中華超聲影像學(xué)雜志, 2005, 14(10): 761-763.
- 4. 王正陽, 屈佳妮, 董丹丹. 腎上腺骨髓脂肪瘤的聲像圖分析[J]. 臨床超聲醫(yī)學(xué)雜志, 2008, 10(3): 190-192.
- 5. Wagnerova H, Lazurova I, Bober J, et al. Adrenal myelolipoma: 6 cases and a review of the literature[J]. Neoplasma, 2004, 51(4): 300-305.
- 6. Lamout JP, Lieberman ZH, Stephens JS. Giant adrenal myelolipoma[J]. Am Surg, 2002, 68(4): 392-394.
- 7. Otal P, Escourrou G, Mazerolles C, et al. Imaging features of uncommon adrenal masses with histopathologic correlation[J]. Radiographics, 1999, 19(3): 569-581.
- 8. 陳美鳳, 劉學(xué)明, 魏芳, 等. B超診斷腎上腺髓樣脂肪瘤[J]. 中國(guó)超聲醫(yī)學(xué)雜志, 1996, 12(4): 66-67.
- 9. Musante F, Derchi LE, Zappasodi F, et al. Myelolipoma of the adrenal gland: sonographic and CT features[J]. AJR Am J Roentgenol, 1988, 151(1): 961-964.
- 10. 加米拉?塞迷肯, 阿依代. B超診斷腎上腺髓樣脂肪瘤4例[J]. 中國(guó)超聲診斷雜志, 2002, 3(6): 450-451.
- 11. 劉鐵, 平金良, 王偉高. 腎上腺骨髓脂肪瘤影像及病理基礎(chǔ)[J]. 實(shí)用放射學(xué)雜志, 2004, 20(12): 1093.
- 12. 吳限, 魯成發(fā), 黃幼珍, 等. 腹膜后脂肪肉瘤的超聲診斷[J]. 中國(guó)超聲診斷雜志, 2002, 3(1): 30-31.
- 13. 董曉秋, 沈理, 王曉民, 等. 腎錯(cuò)構(gòu)瘤的超聲造影模式分析[J]. 中國(guó)超聲醫(yī)學(xué)雜志, 2007, 23(2): 154-156.