高频超声诊断侵袭性纤维瘤病的应用价值  

Application value of high-frequency ultrasound in the diagnosis of aggressive fibromatosis

作　　者：董叶[1] 彭晓静[1] 邓晶[1] 胡彧[1] 叶新华[1] 杭菁[1] 李奥[1] DONG Ye;PENG Xiaojing;DENG Jing;HU Yu;YE Xinhua;HANG Jing;LI Ao(Department of Ultrasound,the First Affiliated Hospital of Nanjing Medical University,Nanjing 210029,China)

机构地区：[1]南京医科大学第一附属医院超声诊断科,南京市210029

出　　处：《临床超声医学杂志》2021年第1期69-72,共4页Journal of Clinical Ultrasound in Medicine

基　　金：国家自然科学基金青年科学基金项目(81401427)。

摘　　要：目的探讨高频超声在侵袭性纤维瘤病诊断中的临床应用价值。方法回顾性分析我院31例经手术病理证实的侵袭性纤维瘤病患者的临床、超声及病理资料,总结其超声特征。结果31例患者共34个病灶,按照发生部位分为腹壁型8个、腹外型13个、乳腺型13个。腹壁型和腹外型超声多表现为膨胀性生长,椭圆形,沿肌肉长轴走行,边界清晰,后方回声增强,其内少见钙化及液化,内部血流Adler半定量分级为Ⅱ~Ⅲ级;乳腺型超声多表现为“爪”形浸润性生长,形态不规则,边界不清晰,后方回声衰减,其内少见钙化,内部血流分极Ⅱ~Ⅲ级。结论侵袭性纤维瘤病的超声表现有一定特征性,可为临床提供术前诊断及鉴别诊断信息。Objective To investigate the clinical application value of high frequency ultrasound in the diagnosis of invasive fibromatosis.Methods The clinical,ultrasonic and pathological data of 31 patients with invasive fibromatosis confirmed by operation and pathology in our hospital were retrospectively analyzed,and the ultrasonic characteristics were summarized.Results The 34 lesions in 31 cases included in this group were classified into extra-abdominal type(13 cases),abdominal wall type(8 cases)and the breast type(10 cases)according to the location of the mass.The ultrasonic characteristics of extra-abdominal type and abdominal wall type were expressed as expansive growth,oval,growing along the long axis of the muscle,clear boundary,posterior echo enhancemen,rare calcification and liquefaction,and internal blood flow was AlderⅡ~Ⅲ.The ultrasonic characteristics of the breast type were expressed as“claw”invasive growth,irregular form,unclear boundary,posterior echo attenuation,rare calcification,and internal blood flow was AlderⅡ~Ⅲ.Conclusion The ultrasonic manifestations of invasive fibromatosis have acertain characteristics,which can provide preoperative diagnosis and differential diagnosis information for clinical practice.

关 键 词：超声检查 高频 侵袭性纤维瘤病 病理学 诊断 鉴别 

分 类 号：R445.1[医药卫生—影像医学与核医学] R738.6[医药卫生—诊断学]