肝上皮样血管内皮瘤的超声表现

发布时间：2018-03-10 12:31

本文选题：肝上皮样血管内皮瘤　切入点：超声　出处：《中国超声医学杂志》2017年01期 　论文类型：期刊论文

【摘要】：目的探讨超声在肝上皮样血管内皮瘤(HEHE)诊断中的价值。方法对29例经病理证实为HEHE患者的超声图像进行回顾性分析,研究肿瘤的大小、位置、回声、边界、内部结构以及彩色多普勒血流信号特点。结果 29例HEHE患者共132个病灶,直径范围1~6.8cm,高回声病灶25个,低回声病灶36个,稍低回声病灶66个,等回声病灶5个。81个病灶回声欠均匀,51个病灶内部回声尚均匀;52个病灶边界欠清,26个病灶边界不清,54个病灶边界尚清。10例患者较大病灶周边伴晕环,6例患者伴钙化,4例患者病灶之间互相融合,9例患者显示周边彩色血流信号,11例患者显示周边及内部均有彩色血流信号,18例动脉血流,2例静脉血流,平均阻力指数(RI)0.63±0.06。结论灰阶超声结合彩色多普勒超声对于肝脏上皮样血管内皮瘤的诊断具有一定的帮助。
[Abstract]:Objective to evaluate the value of ultrasound in the diagnosis of hepatic epithelioid hemangioendothelioma (HEHEA). Methods the size, location, echo and boundary of the tumor were analyzed retrospectively in 29 patients with pathologically proved HEHE. Results there were 132 lesions in 29 HEHE patients with diameter ranging from 1 to 6.8 cm, 25 hyperechoic lesions, 36 hypoechoic lesions and 66 hypoechoic lesions. Isoechoic lesions 5. 81 lesions with uneven echo, 51 lesions with homogeneous internal echo, 52 lesions with unclear boundaries, 26 lesions with unclear boundaries, 54 lesions with clear boundary. 10 patients with larger lesions with halo ring around 6 patients with calcium. Color blood flow signals were detected in 11 patients with peripheral and internal color blood flow signals in 18 patients with arterial blood flow and 2 patients with venous blood flow. The mean resistance index (RI) was 0.63 卤0.06.Conclusion Grey scale ultrasound combined with color Doppler ultrasound is helpful in the diagnosis of hepatic epithelioid hemangioendothelioma.
【作者单位】：复旦大学附属中山医院超声科上海市影像医学研究所;
【基金】：国家自然科学基金项目(No.81371577,81571676)
【分类号】：R445.1;R735.7

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