超声在浅表型结节性筋膜炎诊断中的价值  

The Diagnostic Value of Ultrasound in Superficial-Type Nodular Fasciitis

作　　者：吕衡 谢海琴[1] 陈香梅[1] 刘俐[1] 孙德胜[1] 余光银[2] 王新根 LüHeng;Xie Haiqin;Chen Xiangmei;Liu Li;Sun Desheng;Yu Guangyin;Wang Xingen(Department of Ultrasound,Peking University Shenzhen Hospital,Shenzhen,Guangdong 518036,China;Department of Pathology,Peking University Shenzhen Hospital,Shenzhen,Guangdong 518036,China)

机构地区：[1]北京大学深圳医院超声科,广东省深圳市518036 [2]北京大学深圳医院病理科,广东省深圳市518036

出　　处：《中国超声医学杂志》2021年第11期1298-1300,共3页Chinese Journal of Ultrasound in Medicine

基　　金：深圳市医学重点学科建设经费资助(No.SZXK051);深圳市高水平医院建设专项经费资助;北京大学深圳医院科研基金资助项目(No.JCYJ2020012);深圳市卫生计生系统科研项目(No.SZXJ2018083)。

摘　　要：目的探讨浅表型结节性筋膜炎的超声表现,提高对浅表型结节性筋膜炎的认识。方法回顾性分析病理证实的浅表型结节性筋膜炎61例,评价病变的位置、回声及血流情况,根据回声特征分为3种类型。结果 61例浅表型结节性筋膜炎病变,40例(65.6%)位于上肢;48例(78.7%)病变中心位于皮下脂肪深层。所有病变均可见低回声;35例(57.4%)病变呈Ⅰ型,中心呈低回声,周围伴高回声晕或结节;15例(24.6%)病变呈Ⅱ型,主体呈低回声,内见平行条状高回声,周围不伴高回声晕或结节;11例(18.0%)病变呈Ⅲ型,主体呈低回声,内未见平行条状高回声,周围不伴高回声晕或结节;22例(36.1%)病变有血流信号。结论浅表型结节性筋膜炎好发于上肢,且主要位于皮下脂肪深层,超声表现以Ⅰ、Ⅱ型为主,能提高超声对浅表型结节性筋膜炎的认识。Objective To evaluate the sonographic features of superficial-type nodular fasciitis, and improve the understanding of superficial-type nodular fasciitis. Methods 61 cases of superficial-type nodular fasciitis confirmed by pathology were analyzed retrospectively. The location, echo, and blood flow of the lesions were evaluated. According to the ultrasound characteristics, superficial-type nodular fasciitis can be divided into 3 types. Results Of 61 cases of superficial-type nodular fasciitis, 40 cases(65.6%) located in the upper limbs, 48 cases(78.7%) located in the deep layer of subcutaneous fat. Hypoechoic areas were observed in all lesions. Type Ⅰ, the center of the lesion was hypoechoic with hyperechoic halo or nodules around, presented in 35 cases(57.4%). Type Ⅱ, the main lesion was hypoechoic, with parallel strip hyperechoic inside, without hyperechoic halo or nodules around, presented in 15 cases(24.6%). Type Ⅲ, the main lesion is hypoechoic, without parallel strip hyperechoic inside and hyperechoic halo or nodules around, presented in 11 cases(18.0%). Color Doppler was detected in 22 cases(36.1%). Conclusions Superficial-type nodular fasciitis is more common in the upper extremity and mainly located in the deep layer of subcutaneous fat. Type Ⅰ and Type Ⅱ are more common, which can improve the understanding of superficial-type nodular fasciitis.

关 键 词：结节性筋膜炎 超声 

分 类 号：R445.1[医药卫生—影像医学与核医学] R686.3[医药卫生—诊断学]