皮肤型幼年性黄色肉芽肿高频超声表现  

High frequency ultrasonic manifestations of cutaneous juvenile xanthogranuloma

作　　者：高惠[1] 唐婧伟 温洁馨 尹书月 陈露[1] 张敏[1] 汪朝霞[1] GAO Hui;TANG Jingwei;Wen Jiexin;YIN Shuyue;CHEN Lu;ZHANG Min;WANG Zhaoxia(Department of Ultrasound,Children’s Hospital of Chongqing Medical University,Ministry of Education Key Laboratory of Child Development and Disorders,Chongqing Key Laboratory of Pediatrics,National Clinical Research Center for Child Health and Disorders,China International Science and Technology Cooperation base of Child development and Critical Disorders,Chongqing 400014,China)

机构地区：[1]重庆医科大学附属儿童医院超声科儿童发育疾病研究教育部重点实验室儿科学重庆市重点实验室国家儿童健康与疾病临床医学研究中心儿童发育重大疾病国家国际科技合作基地,重庆市400014 [2]重庆市沙坪坝区人民医院超声科

出　　处：《临床超声医学杂志》2021年第11期860-862,共3页Journal of Clinical Ultrasound in Medicine

摘　　要：目的总结皮肤型幼年性黄色肉芽肿的声像图的表现特征,提高高频超声对其诊断准确率。方法回顾性分析我院20例经病理检查确诊的皮肤型幼年性黄色肉芽肿患儿的声像图表现。结果20例皮肤型幼年性黄色肉芽肿患儿病变主要超声表现:①位置及形态。病变均位于皮肤和皮下浅层,17例(85%)形态规则,边界清楚,合并感染时(3例,15%)形态则不规则,边界欠清楚;病变一般较小,最大者仅为2.8 cm×2.7 cm×0.7 cm;②内部回声。18例(90%)内部表现为均质的低回声,2例(10%)表现为无回声;③CDFI。少血供者12例(60%)、无血供者5例(25%),当合并感染时病变内也可表现为丰富血供(3例,15%)。结论高频超声检查可作为辅助诊断皮肤型幼年性黄色肉芽肿的可靠工具。Objective To summarize the ultrasonographic manifestations of cutaneous juvenile xanthogranuloma,and to improve the diagnostic accuracy of the disease by ultrasound.Methods The ultrasonographic manifestations of 20 children with cutaneous juvenile xanthogranuloma confirmed by pathological examination in our hospital were retrospectively analyzed.Results The main ultrasonographic manifestations of the 20 children with cutaneous juvenile xanthogranuloma were as the follows:①Location and form.All lesions were located in skin and subcutaneous superficial layer.17 case(85%)had regular morphology and well-defined,while 3 cases(15%)of co-infection had irregular morphology and ill-defined.The lesion was generally small,the largest was only 2.8 cm×2.7 cm×0.7 cm.②Internal echo.18 cases(90%)had homogeneous hypoechoic internal manifestations,and 2 cases(10%)had anechoic internal manifestations.③CDFI.There were 12 cases with fewer blood flow signal(60%),and 5 cases without blood flow signal(25%).When combined with infection,the lesion could also be characterized by rich blood supply(3 cases,15%).Conclusion High frequency ultrasonography can be used as a reliable tool for diagnosis of cutaneous juvenile xanthogranuloma.

关 键 词：超声检查 高频 幼年性黄色肉芽肿 

分 类 号：R445.1[医药卫生—影像医学与核医学]