摘要
目的探讨侵袭性纤维瘤病(AF)的超声表现及误诊原因。方法回顾性分析经组织病理学证实的45例(共47个肿块)AF的超声表现及误诊原因。结果 45例患者中,超声表现为病灶大小不等,其中36个(36/47,76.60%)肿块最大径≥3cm;37个(37/47,78.72%)肿块呈形态不规则的浅分叶状;45个(45/47,95.74%)肿块未见完整包膜;45个(45/47,95.74%)肿块内部回声不均匀,表现为低回声内间杂斑片状等高回声区。彩色多普勒超声正确诊断29例,误诊16例,诊断符合率为64.44%(29/46)。结论 AF的超声表现具有一定特征性,结合患者病史及体征,可明显提高AF的术前检出率及诊断符合率。
Objective To explore ultrasound performances and misdiagnostic causes of aggressive fibromatosis （AF）. Methods Ultrasound performance and misdiagnostic causes of 45 patients （47 tumors） with AF confirmed by histopathology were analyzed retrospectively. Results Of 45 patients, ultrasound showed lesions of varying size, and the maximum diameter of 36 masses （36/47, 76.60%） were more than 3 cm; 37 masses （37/47, 78.72%） were irregular pale leaf; 45 masses （45/47, 95.74%） had no complete capsule; 45 masses （45/47, 95.74%） were shown as interogeneous internal echo mixed with hyperechoic area in the hypoechoic internal; 29 cases were diagnosed correctly, 16 cases were misdiagnosed, the diagnostic accordance rate was 64.44% （29/46）. Conclusion AF has certain ultrasonic characteristics. Combined with the patient＇s medical history and physical sign, ultrasound can significantly improve the preoperative detection rate and diagnostic accuracy of AF.
出处
《中国介入影像与治疗学》
CSCD
北大核心
2017年第6期374-377,共4页
Chinese Journal of Interventional Imaging and Therapy
基金
重庆市卫生计生委医学科研项目(2015MSXM225)
关键词
纤维瘤病
侵袭性
超声检查
多普勒
彩色
Fibromatosis, aggressive
Ultrasonography, Doppler, color
