高频彩色多普勒超声对皮肤实性肿瘤诊断价值的初步研究  

The Value of High Frequency Color Doppler Ultrasonography in the Diagnosis of Solid Skin Tumors——a Preliminary Study

作　　者：钟琳[1] 唐远姣[1] 杨裕佳[1] 邱逦[1] 

机构地区：[1]四川大学华西医院超声科,成都610041

出　　处：《四川大学学报（医学版）》2017年第1期111-115,共5页Journal of Sichuan University(Medical Sciences)

基　　金：国家自然科学基金(No.81271585);四川省科技厅科技支撑计划项目(No.2015SZ0125);成都市科技惠民项目(No.2014-HM01-00176-SF)资助

摘　　要：目的探讨高频彩色多普勒超声对良、恶性皮肤实性肿瘤鉴别诊断的价值。方法收集我院经病理证实的皮肤实性肿瘤患者的资料,分析良、恶性组肿瘤的临床及超声图像特征的差异。结果共512例患者,527个病灶,超声发现率99.43%,定位准确率99.02%;良性及恶性组肿瘤在平均年龄、多发病变比例、分布部位、累及皮肤层次、皮肤层情况、平均最大径线、内部回声、钙化比例、血流情况、后方及周围回声、是否提出病理诊断和定性诊断准确率的差异有统计学意义(P<0.05)。结论高频超声对于皮肤实性肿瘤具有极高的发现率,能准确定位累及皮肤层次,良性及恶性皮肤肿瘤在多项临床及超声表现上有差异。Objective To explore the value of high frequency color doppler ultrasonography in differentiating benign and malignant skin solid tumors. Methods Clinical and ultrasonic data of cutaneous solid tumors confirmed by pathology in our hospital were collected. The differences in clinical and sonographic features between benign and malignant tumors were statistically analyzed. Results A total of 512 patients, involving 527 cases of skin solid tumors, were enrolled in this study. The ultrasonic detected 99.43% of the cases, with 99.02% accuracy in locating the lesions. The benign and malignant tumors showed differences in patient age, location, multiple occurance, location and depth, surface skin condition, tumor size, echo, morphology, uniformity, calcification, blood flow status, tumor rear area and peripheral echo, and pathological requests （ P〈0.05）. Conclusion High frequency ultrasound has excellent detection rate of skin tumors, which can locate invasion depth of skin accurately. Benign and malignant skin tumors show differences in a number of clinical and ultrasound features.

关 键 词：皮肤肿瘤 鉴别诊断 超声 

分 类 号：R739.5[医药卫生—肿瘤] R445.1[医药卫生—临床医学]