浅表神经鞘瘤的超声诊断价值  

Ultrasonic diagnosis on superficial schwannoma

作　　者：肖影 

机构地区：[1]武进人民医院超声科,江苏常州213164

出　　处：《临床肿瘤学杂志》2016年第6期553-555,共3页Chinese Clinical Oncology

摘　　要：目的探讨浅表神经鞘瘤的超声诊断特点。方法回顾性分析2014年1月至2015年6月超声检查初步诊断为神经鞘瘤36例患者的超声影像学特征。结果超声肿块的检出率为100.0%。36例患者中手术及病理证实为神经鞘瘤24例,超声诊断与病理诊断符合率为66.7%(24/36)。瘤体多为圆形或椭圆形,边界清;1例为多发病灶,其余均为单发;内部回声为低回声18例,囊实混合性回声6例;18例探测到鼠尾征;Adler分级法:0级4例,Ⅰ级7例,Ⅱ级10例,Ⅲ级3例。结论超声诊断浅表神经鞘瘤具有较高的诊断价值,且操作简便,无创伤,值得临床推广应用。Objective To discuss the characteristics of ultrasonography on diagnosis of superficial schwannoma. Methods Retrospective analysis of 36 patients ultrasonically diagnosed as superficial schwannoma from January 2014 to June 2015 was done. Results The mass detective rate was 100. 0%. Among the 36 patients,24 were confirmed as schwannoma by pathology,and the coincidence rate of ultrasound and pathology was 66. 7%. The shape of schwannoma was round or oval with clear borders. One case was found multiple foci,and the remaining 23 cases showed single lesion. Among the 24 cases,18 cases showed low echo,and 6 cases showed cystic solid echo. Typical ultrasonographic performance of rat tail was found in 18 cases. According to Adler classification,there were 4cases in grade 0,7 in grade Ⅰ,10 in grade Ⅱ and 3 in grade Ⅱ. Conclusion Ultrasonic diagnosis on superficial schwannoma has high diagnostic value with the advantage of easy operation and non-invasion,and is worthy of clinical application.

关 键 词：超声诊断 神经鞘瘤 

分 类 号：R730.264[医药卫生—肿瘤] R730.41[医药卫生—临床医学]