超声对钙化性腱膜纤维瘤的诊断价值

发布时间：2018-02-10 09:51

本文关键词： 钙化性腱膜纤维瘤超声诊断　出处：《中国超声医学杂志》2017年11期 　论文类型：期刊论文

【摘要】：目的分析钙化性腱膜纤维瘤(CAF)的声像图表现,探讨超声对该疾病的诊断价值。方法回顾性分析8例CAF超声表现,总结其病灶的部位、大小、形态、边界、内部回声、血流情况及其毗邻关系。结果 CAF患者8例,男5例,女3例,平均年龄8岁。肿瘤均位于四肢远端关节或邻近关节的软组织内,其中指间关节3例,跖趾关节2例,腕关节1例,小鱼际近腕关节1例,掌骨远端1例。超声表现为形态不规则、边界欠清(或)不清、内部呈不均匀实性低回声,其中7例病灶内可见散在点状钙化(87.5%);彩色多普勒提示5例病灶内可见少量血流信号,3例未见明显血流信号。7例肿物与肌腱关系密切。结论钙化性腱膜纤维瘤的超声表现有一定特异度,结合发病部位及年龄有助于提高对该疾病诊断的准确性。
[Abstract]:Objective to analyze the sonographic features of calcified aponeurofibroma (CAF) and to evaluate the value of ultrasonography in the diagnosis of the disease. Methods the ultrasonographic findings of 8 cases of CAF were retrospectively analyzed, and the location, size, shape, boundary and internal echo of the lesions were summarized. Results there were 8 patients with CAF, 5 males and 3 females, with an average age of 8 years. The tumors were located in the soft tissue of distal joints or adjacent joints of the extremities, including 3 cases of interphalangeal joints and 2 cases of metatarsophalangeal joints. Wrist joint in 1 case, hypothenar joint in 1 case, distal metacarpal bone in 1 case. In 7 cases, scattered calcification was found in 87.5% of the lesions, and color Doppler imaging showed that a small amount of blood flow signal could be seen in 5 cases. Conclusion there is a close relationship between the tumor and tendon in 7 cases. Conclusion the ultrastructure of calcified aponeurofibroma can be seen in 3 cases. The sound expression has a certain specificity, Combination of location and age is helpful to improve the accuracy of diagnosis of the disease.
【作者单位】：北京积水潭医院超声诊断科;
【基金】：北京市卫生系统高层次卫生技术人才培养计划(No.2015-3-033)
【分类号】：R445.1;R738.6

【相似文献】