体表软组织内侵袭性纤维瘤病的超声诊断价值  

Diagnosis Value Ultrasound in Invasive Fibromatosis in Superficial Soft Tissue

作　　者：孟庆楠[1] 崔正军[1] 陈争光[2] 黄媛婧[2] 刘勋[3] Meng Qingnan;Cui Zhengjun;Chen Zhengguang;Huang Yuanjing;Liu Xun(Department of Burn and Reconstructive Surgery,The First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China;Department of Ullrasound,The First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China;Department of Ullrasound,Tianjin Fifth Central Hospital,Tianjin 300450,China)

机构地区：[1]郑州大学第一附属医院烧伤与修复重建外科,郑州市450052 [2]郑州大学第一附属医院超声科,郑州市450052 [3]天津市第五中心医院超声科,天津市300450

出　　处：《中国超声医学杂志》2022年第3期350-353,共4页Chinese Journal of Ultrasound in Medicine

摘　　要：目的分析体表软组织内侵袭性纤维瘤病临床表现及超声特征,并初步了解其超声造影表现。方法回顾分析手术病理证实的26例AF的临床资料及超声表现,记录患者年龄、性别、有无手术史以及肿瘤发病解剖层次、体表部位、肿块数量、大小、回声、边界、形态、后方回声、血流信号,并分析5例AF超声造影表现。结果26例病灶经手术切除证实均为AF,其中腹壁型18例,腹壁外型8例,二维超声多表现为低回声为主(26/26)、形态不规则(24/26)、边缘浸润状(20/26)、后方回声增强(19/26),彩色多普勒Adler分级Ⅰ级3例、Ⅱ级7例、Ⅲ级16例,术前超声诊断腹壁型AF 16例(16/18),腹壁外型诊断2例(2/8),二者差异具有统计学意义(P<0.05)。5例超声造影显示AF增强多为大片状均匀高增强(5/5)。结论AF具有一定的超声特征及临床表现,腹壁型AF超声诊断准确率明显高于腹壁外型,超声造影有助于AF的鉴别。Objective To analyze the clinical manifestations and ultrasonic characteristics of aggressive fibromatosis in superficial soft tissue,and initially understand the performance of AF ultrasound contrast.Methods The clinical data and ultrasonic manifestations of 26 AF patients admitted to our hospital and confirmed by surgery and pathology were retrospectively analyzed,the patient’s age,sex,surgical history,tumor tissue layer,superficial location,mass quantity,size,echo,boundary,morphology,posterior echo and blood flow signals were recorded,and the contrast-enhanced ultrasound manifestations of 5 AF patients were analyzed.Results All the 26 cases were confirmed to be AF by surgical resection,18 cases were of abdominal wall type,and 8 cases were of abdominal external wall type.The two-dimensional ultrasound mainly showed low echo(26/26),irregular shape(24/26),edge infiltration(20/26),and rear echo enhancement(19/26).Color Doppler Adler classification included 3 cases of grade I,7 cases of gradeⅡand 16 cases of gradeⅢ.Preoperative ultrasound diagnosis of abdominal wall type AF 16 cases(16/18),abdominal wall external diagnosis of 2 cases(2/8),there was statistical difference between them(P<0.05).5 cases of contrast-enhanced ultrasound showed that the AF enhancement was mostly large and uniform high enhancement(5/5).Conclusions AF has certain ultrasound characteristics and clinical manifestations,and the diagnostic accuracy of abdominal wall type AF ultrasound is significantly higher than that of abdominal external wall type.Contrast-enhanced ultrasound helps identify AF.

关 键 词：超声 软组织 侵袭性纤维瘤 临床诊断 

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]