彩超及超声造影对软组织肉瘤术后残留的诊断价值  

Diagnostic value of color ultrasound and contrast-enhanced ultrasound for postoperative soft tissue sarcoma residual

作　　者：吴隘红 罗丽 蒋耀煌 冯玉洁 李敏 WU Ai-hong;LUO Li;JIANG Yao-huang;FENG Yu-jie;LI Min(Department of Ultrasound Medicine,Chongqing University Cancer Hospital,Chongqing 400030,China)

机构地区：[1]重庆大学附属肿瘤医院超声医学科,重庆400030

出　　处：《中国临床医学影像杂志》2025年第2期137-140,共4页Journal of China Clinic Medical Imaging

摘　　要：目的:探讨彩超及超声造影对软组织肉瘤(Soft tissue sarcomas,STS)术后残留的诊断价值。方法:回顾性分析2015年11月—2022年3月本院就诊的15例STS术后10~30天内彩超检查发现且经病理证实病灶残留患者的临床及超声资料,并与20例彩超检查经CT、MRI、连续影像学复查或穿刺病理证实为术后改变的超声资料比较,以P/F<0.05具有统计学意义,评价彩超及超声造影对STS术后残留的诊断价值。结果:两组病例在前后径、横径、质地、斑片状高回声、形态、周边回声变化和内部血流方面具有统计学意义(P/F<0.05)。超声造影例数较少,两组比较未见明显差异。15例STS术后病灶残留病例超声诊断准确率(46.7%,7/15)与CT或MRI诊断准确率(14.3%,2/14)无显著差异(P=0.109)。结论:STS术后1月内进行影像学检查的阳性准确率较低,彩超检查发现低回声范围较大,质地不均,见斑片状高回声,形态规则,周边组织无明显变化,内部见血流信号时应警惕病灶残留。因彩超可初步判断性质,临床应用度高,故超声造影病例较少,有待进一步研究。Objective:To explore the diagnostic value of color ultrasound and contrast-enhanced ultrasound for postoperative soft tissue sarcoma(STS)residual.Methods:The clinical and ultrasonic data of 15 cases of STS patients treated in our hospital from November 2015 to March 2022 who were found by color ultrasound examination and confirmed by pathology within 10 days to 1 month after STS operation were retrospectively analyzed.Twenty cases of postoperative changes confirmed by CT,MRI,continuous imaging follow-up or puncture pathology were collected as control group.P/F<0.05 was considered as statistically significant to evaluate the value of color ultrasound and contrast-enhanced ultrasound in postoperative STS residual.Results:There were significant differences in anteriorposterior diameter,transverse diameter,texture,patular hyperecho,form,peripheral echo and internal blood flow between 15 patients with residual STS and 20 patients with postoperative changed(P/F<0.05).The number of contrast-enhanced ultrasound cases was small,and there was no significant difference between the two groups.There was no significant difference between the accuracy of ultrasound diagnosis(46.7%,7/15)and that of CT or MRI diagnosis(14.3%,2/14)in 15 patients with residual lesions after STS(P=0.109).Conclusion:The positive accuracy rate of imaging examination within 1 month after STS is low.When color ultrasound examination after STS shows a large range of low echo,uneven texture,patchy high echo inside,regular shape,no significant changes in the surrounding tissue,internal flow signal,residual lesions should be considered.The cases of CEUS are few and need to be further studied.

关 键 词：肉瘤 超声检查 

分 类 号：R738.7[医药卫生—肿瘤] R445.1[医药卫生—临床医学]