浅表血管内乳头状内皮增生的超声特征  

Ultrasonographic Features of Superficial Intravascular Papillary Endothelial Hyperplasia

作　　者：敬文莉[1] 杨裕佳[1] 钟琳[1] 彭玉兰[1] Jing Wenli;Yang Yujia;Zhong Lin;Peng Yulan(Department of Ultrasound,West China Hospital,Sichuan University,Sichuan 610041,China)

机构地区：[1]四川大学华西医院超声科,成都市610041

出　　处：《中国超声医学杂志》2021年第10期1186-1188,共3页Chinese Journal of Ultrasound in Medicine

摘　　要：目的探讨并总结浅表血管内乳头状内皮增生(IPEH)的超声特征。方法由两位肌骨专业超声医师回顾性分析我院经手术病理证实的12例浅表IPEH超声图像。结果 IPEH好发于手指。所有IPEH均呈低回声,边缘清晰,多数呈椭圆形。9例(75.00%)内部不均匀,可见隔膜样结构及管状、裂隙状回声。7例(58.33%)少量血供,2例(16.67%)病变检测到连接病灶的起源血管。结论 IPEH的超声表现为体积较小的椭圆形的低回声肿块,内部回声不均匀,可见隔膜样结构及管状、裂隙状回声,血供多不丰富。当检测到连接病灶的起源血管时可有助IPEH诊断。Objective This study was designed to investigate and summarize the ultrasound characteristics of superficial intravascular papillary endothelial hyperplasia(IPEH). Methods The ultrasound images of twelve cases of superficial IPEH which confirmed by surgery and pathology retrospectively analyzed by two musculoskeletal sonographers. Results IPEH tends to occur in the fingers. All IPEH were hypoechoic, with clear edges, and most of them were oval. Nine of twelve were heterogeneous in internal echo textures, which had the distinct internal septum-like structures, tubular and fissured echoes formed in the lesion. The vascularity was little in seven(58.33%) of the twelve cases. The detectable origin vessel was noted in two of twelve cases(16.67%). Conclusions The ultrasonographic features of IPEH are small oval hypoechoic mass with heterogeneous, septum-like structures, tubular and fissure echos, and poor blood supply. IPEH diagnosis can be facilitated when the origin blood vessel connecting the lesion is detected.

关 键 词：血管内乳头状内皮增生 超声 软组织 马松瘤 

分 类 号：R445.1[医药卫生—影像医学与核医学] R543[医药卫生—诊断学]