软组织血管瘤与神经鞘瘤影像学鉴别诊断准确率分析  

Accuracy Analysis of Soft Tissue Hemangioma and Schwannoma Imaging Differential Diagnosis

作　　者：黄延河 HUANG Yanhe(Jinan City LaiWU District Yangli Street Community Health Service Center,Jinan,Shandong 271118)

机构地区：[1]济南市莱芜区羊里街道社区卫生服务中心,山东济南271118

出　　处：《智慧健康》2023年第24期35-39,共5页Smart Healthcare

摘　　要：目的 探察并分析软组织神经鞘瘤及血管瘤进行影像学鉴别诊断的真实准确率及实际效果。方法针对2021年8月—2022年8月内在本院接受软组织神经鞘瘤及软组织血管瘤诊断的患者病历资料进行回顾性收集与分析。其中,软组织神经鞘瘤患者和软组织血管瘤患者各40例。采取单因素分析法分析所有患者病灶显示的不同影像学征象。结果 两组患者在包膜、神经出入征、条带状影、内部脂肪、非边缘钙化、靶征、边界模糊、类囊变区、不规则形态以及最大径(>5cm)等影像学表现方面差异明显(P<0.05);在病灶四周水肿、四周骨质改变、液-液平面、边缘钙化及多发等影像学表现方面无明显差异(P>0.05)。结论 临床诊断软组织神经鞘瘤及血管瘤疾病主要以包膜、类囊变区、不规则形态、靶征及内部脂肪的5个影像学特征表现作为评估指标,可提高诊断结果的准确率,以便清晰知晓患者的病情,为后续制定针对性、有效性治疗方案起到指导与参考作用。Objective To explore and analyze true accuracy and actual effect of soft tissue schwannoma and hemangioma imaging differential diagnosis.Methods The paper reviewed collected and analyzed medical records of patients with soft tissue hemangioma and schwannoma diagnosed in our hospital from August 2021 to August 2022,including 40 patients with soft tissue schwannoma and 40 patients with soft tissue hemangioma as observation subjects.Univariate analysis was carried out for different lesions imaging signs of patients.Results There was significant difference in imaging manifestations between two groups,including capsule,neural entry and exit sign,strip shadow,internal fat,non marginal calcification,target sign,blurred boundary,cystic like zone,irregular shape,and maximum diameter(>5cm)(P<0.05).There was no significant difference in imaging manifestations including edema around lesion,changes in surrounding bone mass,liquid-liquid level,marginal calcification and multiple lesions(P>0.05).Conclusion Five imaging features of capsule,cystic transformation area,irregular shape,target sign,and internal fat are mainly evaluation indicators in clinical diagnosis of soft tissue schwannoma and hemangioma diseases,which can improve diagnosis accuracy and provide guidance and reference for targeted and effective treatment plans in future.

关 键 词：软组织血管瘤 神经鞘瘤 影像学 鉴别诊断 准确率 

分 类 号：R739.4[医药卫生—肿瘤]