B超动态监测瘢痕的研究  

Dynamic monitoring of scar changes by B-mode ultrasound

作　　者：刘苗苗 王俊魁[1] 孙毅 翟晓梅[1] Liu Miaomiao;Wang Junkui;Sun Yi;Zhai Xiaomei(Department of Plastic Surgery,the First Affiliated Hospital of Zhengzhou University/Scar Research Center,Zhengzhou University,Zhengzhou 450052,China)

机构地区：[1]郑州大学第一附属医院整形外科郑州大学瘢痕研究中心,郑州450052

出　　处：《中华医学美学美容杂志》2022年第5期402-404,共3页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的探讨B超客观评估瘢痕及动态监测瘢痕的应用价值。方法 2018年3月至2020年6月, 郑州大学第一附属医院整形外科瘢痕患者59例(男38例、女21例, 年龄8~49岁, 平均20岁), 分为普通瘢痕组21例、增生性瘢痕组23例、瘢痕疙瘩组15例。59例患者均定期采用B超扫描瘢痕图像, 测量瘢痕厚度。结果 3个组瘢痕B超图像表现:普通瘢痕组真皮层回声强度不均匀, 增生性瘢痕组及瘢痕疙瘩组真皮层均表现为明显低回声, 部分瘢痕疙瘩病例可见少量血流信号。3个组瘢痕超声图像表现在12个月内均无显著变化。3个组瘢痕的厚度变化:普通瘢痕组厚度在12个月内无明显变化;增生性瘢痕组厚度在12个月内呈现出先增加后稳定的趋势。结论 B超能辅助鉴别不同类型的瘢痕, 更加客观准确地测量瘢痕厚度, 并监测瘢痕的动态变化。Objective To study the application of B-mode ultrasound in objective evaluation and dynamic monitoring of scar.Methods The subjects were patients with scar in the outpatient and inpatient department of plastic surgery in the First Affiliated Hospital of Zhengzhou University from March 2018 to June 2020.According to the type of scar,they were divided into 3 groups:21 patients in the normal scar group,23 patients in the hypertrophic scar group,and 15 patients in the keloid group.All 59 patients were regularly scanned by B-mode ultrasound for scar images and the scar thickness was measured.Results B-mode ultrasonic images of scars were analyzed in each group:The echo intensity of dermis of normal scar was uneven,hypertrophic scar and keloid dermis showed obvious hypoecho,and some cases of keloid presented a small amount of blood flow.There was no significant change in the ultrasonic images of scar in each group within 1 year.Changes in scar thickness were observed in each group.The normal scar thickness did not change significantly within 1 year.The thickness of hypertrophic scar showed a trend of first increasing and then stabilized within 1 year.Conclusions B-mode ultrasound can assist to identify different scar types according to ultrasonic performance.B-mode ultrasound can be used to measure scar thickness objectively and accurately and monitor the dynamic changes of scars.

关 键 词：超声检查 B超 病理性瘢痕 瘢痕厚度 客观评估 

分 类 号：R445.1[医药卫生—影像医学与核医学] R622[医药卫生—诊断学]