本文選題：超聲檢查 + 小兒�。� 參考：《中華醫(yī)學超聲雜志(電子版)》2016年11期

【摘要】：目的探討小兒外傷性骨化性肌炎(PTMO)早期和成熟期的超聲影像表現及其臨床意義。方法選擇2014年1月至2016年5月在深圳市兒童醫(yī)院確診的7例PTMO患兒,對其臨床、病理檢查結果及超聲表現進行分析。結果 7例患兒中5例超聲檢查后經手術切除獲得了病理診斷(2例為早期、3例為成熟期);2例經超聲和MRI或CT影像檢查確診。2例早期PTMO超聲表現為外傷局部的肌間低回聲,邊界清,內部顯示纖細高回聲,未顯示明顯鈣化;能量多普勒顯示枝條狀血流信號。5例成熟期PTMO超聲表現為低回聲團塊,內部顯示條帶狀鈣化,伴后方聲影;彩色多普勒血流成像局部呈稀疏點狀血流信號。結論超聲檢查可根據腫塊的聲像圖表現,早期識別小兒PTMO,為臨床診斷和治療提供有用的信息。
[Abstract]:Objective to investigate the ultrasonographic features and clinical significance of traumatic ossifying myositis in children. Methods from January 2014 to May 2016, 7 cases of PTMO were diagnosed in Shenzhen Children's Hospital. The clinical, pathological and ultrasonic findings were analyzed. Results among the 7 cases, 5 cases were examined by ultrasound and then resected. Pathological diagnosis was obtained in 2 cases. 3 cases were diagnosed as early stage and 2 cases were diagnosed by ultrasonography and MRI or CT imaging. 2 cases of early PTMO showed hypoechoic intramuscular injury. The boundary was clear with thin and high echo in the interior without obvious calcification, and the flow signal of branch was detected in 5 cases of mature PTMO with hypoechoic mass and band calcification in the interior, accompanied by posterior acoustic shadow. The results were as follows: (1) in the boundary, there was no obvious calcification in the interior, and there was no obvious calcification in the interior. In color Doppler flow imaging, the local blood flow signals were sparsely punctate. Conclusion Ultrasonography can be used to identify early PTMOs in children and provide useful information for clinical diagnosis and treatment.
【作者單位】： 深圳市兒童醫(yī)院超聲科;深圳市兒童醫(yī)院放射科;深圳市兒童醫(yī)院骨科;
【分類號】：R445.1;R726.8
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本文編號：1943983