摘要
目的探究浅表型结节性筋膜炎采用肌骨超声检查的诊断效果。方法选取2017年7月至2019年7月我院病理确诊的20例浅表型结节性筋膜炎患者,并于手术切除前半个月内进行超声检查。对筋膜炎位置、内部回声以及和深筋膜关系等进行评价。结果所有患者手术后经病理均诊断为单发浅表型结节性筋膜炎,其中位于皮下脂肪层深层、皮下脂肪层中间、整个皮下脂肪层、深筋膜层、无法判定为皮下脂肪层深层或深筋膜层分别有9、3、1、6、1例,所占比例分别为45%、15%、5%、30%、5%;病变在上肢、下肢、背部、胸壁、乳腺分别有13、4、1、1、1例,所占比例分别为65%、20%、5%、5%、5%;肿块最大、最小、最大直径分别为28 mm×23 mm×11 mm、8 mm×6 mm×4 mm、8.2~16.9 mm。轮廓呈椭圆形或者是分叶状椭圆形。肿块没有均匀高回声或者低回声出现,低回声为主的有10例,所占比例50%;高回声内伴裂隙状低回声6例,所占比例30%;高低回声相间4例,所占比例20%;肿块内没有明显血流信号、可见周边有少许血流信号、肿块内散在分布的血流信号、周边与其内少量血流信号、肿块内部血流信号稍丰富分别为10、5、3、1、1例,所占比例分别为50%、25%、15%、5%、5%;肿块外周回声增强10例,所占比例50%;和深筋膜相连13例,所占比例65%。结论浅表型结节性筋膜炎采用肌骨超声检查,此病通常在皮下深部临近深筋膜脂肪中出现,声像图与其他软组织的特征性有明显区别。
Objective To explore the diagnostic effect of superficial nodular fasciitis by musculoskeletal ultrasound.Methods From July 2017 to July 2019,20 patients with superficial nodular fasciitis confirmed pathologically in our hospital were selected and underwent ultrasound examination within half a month before surgical resection.The location,internal echo and relationship with deep fascia of fasciitis were evaluated.Results All patients were pathologically diagnosed as single superficial nodular fasciitis after surgery.Among them,9 cases,3 cases,1 case,6 cases and 1 case were located in the deep layer of subcutaneous fat layer,in the middle of subcutaneous fat layer,in the whole subcutaneous fat layer,in the deep fascia layer,and in the deep or deep fascia layer which could not be determined as subcutaneous fat layer respectively,accounting for 45%,15%,5%,30%and 5%respectively.In all patients,lesions were found in upper limbs,lower limbs,back,chest wall and breast in 13 cases,4 cases,1 case,1 case and 1 case respectively,accounting for 65%,20%,5%,5%and 5%respectively.The maximum,minimum and maximum diameters of the tumor were 28 mm×23 mm×11mm,8 mm×6 mm×4 mm and 8.2-16.9 mm respectively.The outline was oval or lobulated oval.There was no homogeneous hyperechoic or hypoechoic mass,10 cases were hypoechoic,accounting for 50%.6 cases were hyperechoic with fissure hypoecho,accounting for 30%;4 cases with alternating high and low echo,accounting for 20%;There was no obvious blood flow signal in the mass,a little blood flow signal can be seen around the mass,blood flow signals scattered in the mass,a little blood flow signal around the mass and inside the mass,and blood flow signals inside the mass are slightly abundant in 10 cases,5 cases,3 cases,1 case and 1 case respectively,accounting for 50%,25%,15%,5%and 5%respectively.The peripheral echo of the tumor was enhanced in 10 cases(50%).13 cases were connected with deep fascia,accounting for 65%.Conclusion Superficial nodular fasciitis is examined by musculoskeletal ultrasound.The disease usually occurs in deep subcutaneous fat adjacent to deep fascia.Ultrasonography is obviously different from the characteristics of other soft tissues.
作者
孙蕊
SUN Rui(Department of Ultrasound,Chaoyang Central Hospital,Chaoyang 122000,China)
出处
《中国医药指南》
2021年第10期78-79,共2页
Guide of China Medicine
关键词
浅表型结节性筋膜炎
肌骨超声
影像诊断
效果
Superficial nodular fasciitis
Musculoskeletal ultrasound
Lmaging diagnosis
Effect
