體表血管平滑肌瘤的超聲特點(diǎn)與病理學(xué)對(duì)照
發(fā)布時(shí)間:2018-06-20 05:55
本文選題:血管平滑肌瘤 + 病理組織學(xué); 參考:《中國(guó)醫(yī)學(xué)影像技術(shù)》2015年09期
【摘要】:目的探討體表血管平滑肌瘤(CAL)的彩色多普勒超聲聲像圖特點(diǎn)與病理學(xué)的關(guān)系。方法收集經(jīng)手術(shù)及病理證實(shí)的25例CAL,分析病變位置、形態(tài)、邊界、內(nèi)部及后方回聲等超聲征象,CDFI觀察包塊內(nèi)部血流分布情況,并分析腫塊的超聲表現(xiàn)與組織病理學(xué)的關(guān)系。結(jié)果超聲檢查發(fā)現(xiàn),CAL以下肢最多見(17/25,68.00%)。超聲表現(xiàn)為位于皮下組織或真皮深層內(nèi)的橢圓形、類圓形結(jié)節(jié),邊界清晰,以低回聲為主(23/25,92.00%)。17例(17/25,68.00%)腫塊內(nèi)部可見彩色血流信號(hào),以AlderⅢ級(jí)者為主(10/17,58.82%);Alder 0級(jí)者,以實(shí)體型為主(6/8,75.00%)。結(jié)論 CAL為好發(fā)于肢體皮下邊界清晰的實(shí)性低回聲腫塊,多伴較豐富的血流信號(hào)。CAL聲像圖表現(xiàn)與組織病理學(xué)特征密切相關(guān)。
[Abstract]:Objective to investigate the relationship between color Doppler ultrasonography and pathology of hemangioleiomyoma on the body surface (CAL). Methods 25 cases of CALs confirmed by operation and pathology were collected, and the location, shape, boundary, internal and posterior echo were analyzed and CDFI was used to observe the distribution of blood flow in the lumps, and the relationship between the ultrasonic findings of the masses and the histopathology was analyzed. Results Ultrasonography showed that 17 / 25 / 68.00 of CAL was most common in lower extremities. The sonographic features were oval, round nodules in subcutaneous tissue or deep dermis, with clear boundary and 23 / 2592.000.17 cases (17 / 25 / 258.00) showed color blood flow signal in the mass, 10 / 17 / 58.82% of Alder 鈪,
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