超声弹性成像技术对浅表软组织病灶性质的判断价值  

Diagnostic Value of Ultrasonic Elastography in the Character of Superficial Tissue Lesions

作　　者：陈园 叶思丹 CHEN Yuan;YE Sidan(Heyuan Hospital of Traditional Chinese Medicine,Heyuan 517000,China)

机构地区：[1]河源市中医院,广东河源517000

出　　处：《中外医学研究》2019年第4期68-69,共2页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探析浅表软组织病灶予以超声弹性成像技术检查的诊断价值。方法:临床选择2016年5月-2017年3月在笔者所在医院就诊的60例浅表软组织病变患者,对全部研究对象予以超声弹性成像检查,同时与术后病理结果进行对照,按照病灶的软硬度评估病灶的性质。结果:病理结果显示,60例患者诊断为良性肿瘤44例,其中包括骨化性肌炎3例,神经鞘瘤10例,脂肪瘤14例,纤维瘤8例,血管瘤3例,囊肿6例。恶性肿瘤者16例,其中包括平滑肌肉瘤3例,基底细胞癌3例,软组织转移瘤3例,滑膜肉瘤7例。超声弹性成像检查诊断准确率91.7%(55/60),其中对良性肿瘤诊断准确率为100%(44/44),对恶性肿瘤诊断准确率为68.8%(11/16)。结论:浅表软组织病灶予以超声弹性成像检查,有助于病灶的性质的鉴别诊断,值得临床推广。Objective:To explore the diagnostic value of ultrasonic elastography in superficial tissue lesions.Method:A total of 60 patients with superficial tissue lesions underwent the ultrasonic elastography from May 2016 to March 2017 in our hospital were selected.The examination results were compared with the pathological results.The character of the lesions was evaluated by its hardness degree.Result:For 60 patients,a total of 44 benign tumor patients were pathologically proved,including 3 cases of myositis ossificans,10 cases of schwannoma,14 cases of lipomyoma,8 cases of fibroma,3 cases of hemangioma cases and 6 cases of cyst.A total of 16 cases of malignant tumor were confirmed including 3 cases of leiomyosarcoma,3 cases of basal cell carcinoma,3 cases of soft tissue metastasis and 7 cases of synovial sarcoma.According to the ultrasonic elastography examination,91.7%(55/66)positive cases were confirmed,in which 100%(44/44)benign tumor and 68.8%(11/16)malignant.Conclusion:The ultrasonic elastography is good to make the differential diagnosis on the character of the lesions.It is worthy of clinical promotion.

关 键 词：临床诊断 弹性成像 浅表软组织病灶 超声检查 

分 类 号：R445.1[医药卫生—影像医学与核医学]