摘要
目的探讨彩色多普勒超声在纤维瘤病诊断中的应用价值。方法对42例纤维瘤病患者(共44个肿瘤结节)术前的声像图及术前、术中及术后病理结果进行回顾性分析,评价彩色多普勒超声在纤维瘤病诊断中的应用价值。结果21例新发病例中,12例经超声引导下活检、外科切除活检或术中冰冻检查取得病理诊断。21例复发病例均为肿瘤原位复发,其中除1例肿瘤发生恶变外,其余肿瘤病理类型与上次手术相同。超声上显示26个肿瘤(59.1%)边界清晰、形态规则,余肿瘤边界不清、形态不规则;32个肿瘤(72.7%)内血流信号稀疏,12个肿瘤内可见丰富的血流信号。8例肿瘤可见侵及周围骨骼肌或骨质,或包绕血管、神经或肌腱等周围组织。结论超声检查在纤维瘤病的术前评估、术后随访中具有较大的应用价值;超声引导下粗针切割活检可用于术前的病理诊断。
Objective To investigate the value of color Doppler ultrasonography in the diagnosis of fibromatosis. Methods The sonographic characteristics and pathologic results of 42 patients （a total of 44 tumors） with fibromatosis were re viewed. Results Twenty-one patients had primary tumor and among them pathologic diagnoses were obtained in 12 patients by ultrasound-guided biopsy, surgical biopsy or frozen section examination. The other twenty-one patients had recurrent tumor. Well-defined and regular border were demonstrated in 26 tumors （59.1 %）, while poor-defined and irregular border were demonstrated in other 18 lesions. Relatively scare blood flows were demonstrated in 32 lesions （72.7 %） while abun dant blood flows were detected in other 12 lesions. Infiltrating into the surrounding skeletal muscles or encompassing the adjacent vessels, nerves or tendons were found in 8 tumors. Conclusion Color Doppler ultrasonography is useful for the eval uation of fibromatosis and post-operation follow-up examination. Ultrasound guided core needle biopsy could be used for pre- operational diagnosis.
出处
《中国医学影像技术》
CSCD
北大核心
2007年第9期1379-1381,共3页
Chinese Journal of Medical Imaging Technology
关键词
超声检查
纤维瘤病
诊断
Ultrasonography
Fibromatosis
Diagnosis
